Gary Lee Gordon, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904003552 Issued in VA

Practice address

6800 Backlick Rd
Suite 202
Springfield, VA 22150-3070

Phone

(703) 921-0692

Fax

(703) 921-0692

NPI assigned

Mar 6, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• David J Wood MD Frcpc,PC

  • Child & Adolescent Psychiatry Physician
  • Springfield, VA
  • NPI 1235382771
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243900800000",
    "number": "1952431629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6551 LOISDALE COURT",
            "address_2": "SUITE 155",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221501808",
            "telephone_number": "703-921-0692",
            "fax_number": "703-921-0637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 BACKLICK RD",
            "address_2": "SUITE 202",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221503070",
            "telephone_number": "703-921-0692",
            "fax_number": "703-921-0692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "GARY",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2009-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904003552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katryna Stout Golian, DDS
• Regina Margarita Gomez
• Stephanie Gonzalez Diaz
• Good Samaritan Home Health Care Agency LLC
• Goodheart Healthcare Services, Inc.
• Lisa G Gordon, LCSW
• Grace Chang, OD PC
• Grace Home Care, LLC
• Graceful Smiles LLC
• Patrice Graham

• Clinical Social Worker in Springfield, VA
• Providers in Springfield, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2009; 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.

Verify at the official NPI Registry.