Active NPI
Hannah Gordon
- Social Worker
- Philadelphia, PA
National Provider Identifier
1922545995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW133361
- Practice address
- 313 S 16TH St
Philadelphia, PA 19102 - Phone
- (216) 312-3041
- NPI assigned
- Jan 27, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SW133361 | PA | Primary |
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
313 S 16TH St
Philadelphia, PA 19102
Mailing address
1012 N Leithgow St
Philadelphia, PA 19123-1421
Phone (216) 312-3041
Other practice location 1
112 N Broad St
Philadelphia, PA 19102-1512
Phone (215) 568-0860
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220513000593 | PA | Practitioner - Clinical Social Worker | 7517344559 | Practice locations: Philadelphia, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1601 Walnut St
Philadelphia, PA 19102-2903
Phone (440) 630-0340
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW133361 | PA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529020800000",
"number": "1922545995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1012 N LEITHGOW ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191231421",
"telephone_number": "216-312-3041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "313 S 16TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19102",
"telephone_number": "216-312-3041"
}
],
"practiceLocations": [
{
"address_1": "112 N Broad St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191021512",
"country_code": "US",
"telephone_number": "215-568-0860",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GORDON",
"first_name": "HANNAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-27",
"last_updated": "2018-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW133361",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.