Deborah Gordon, LICSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

106917 Issued in MA

Practice address

1202 Greendale Ave
Needham, MA 02492-4626

Phone

(617) 909-2109

NPI assigned

Jan 15, 2021

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1610668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1972192623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 620633",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024620633",
            "telephone_number": "617-909-2109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 GREENDALE AVE",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024924626",
            "telephone_number": "617-909-2109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "DEBORAH",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-15",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "MA",
            "license": "106917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Goldstein
• Rebecca A. Goldston, M.S.
• Madeline Gomez
• Mahmoud Goodarzi, M.D.
• Goodman Medical P.C.
• Laurie Gordon, MD
• Kristen Gosselin, LICSW
• Linda Gotthelf, PH.D.
• Lauren Gottlieb-Jaffe
• Philip D Gottlieb, M.D.

• Social Worker in Needham, MA
• Providers in Needham, MA by specialty
• Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; 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.