Johnice Gordon

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

15494 Issued in LA

Practice address

16031 Deblin SQ
Hammond, LA 70403-1519

Phone

(504) 457-8296

NPI assigned

Feb 9, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Transformational Care

  • Clinical Social Worker
  • Hammond, LA
  • NPI 1750076600
  NPD Authorized official
• Magnolia Family Services LLC

  • Community/Behavioral Health Agency
  • Thibodaux, LA
  • NPI 1508982455

  Mental Health

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1902264617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2664",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704042664",
            "telephone_number": "504-457-8296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16031 DEBLIN SQ",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031519",
            "telephone_number": "504-457-8296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "JOHNICE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-09",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "15494",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "15494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cliff Anthony Gomez, MS, CCC-SLP
• Frederic Ryan Gonzales, D.C.
• Leonard John Gonzales Jr., CRNA
• Katelynn Gonzalez
• Ashley Renee Goode
• Robyn Marie Gordon
• Taylor Piglia Goss
• Grace and Mercy Homecare Services LLC
• Grace Family Clinic, L.L.C.
• Peyton Grace

• Clinical Social Worker in Hammond, LA
• Providers in Hammond, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.