Active NPI
Nancy Gordon, LCSW
- Clinical Social Worker
- Brandon, FL
National Provider Identifier
1972784510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW7952
- Practice address
- 219 Cook St
Brandon, FL 33511-5216 - Phone
- (813) 727-0058
- Fax
- (813) 651-4402
- NPI assigned
- Nov 26, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW7952 | FL | Primary |
Addresses
Primary practice location
219 Cook St
Brandon, FL 33511-5216
Mailing address
PO Box 14
Brandon, FL 33509-0014
Phone (813) 480-8482
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW7952 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa Bay Center for Cognitive Behavior Therapy, Inc | Current | Accepting new patients |
Locations
509 Wilbur St
Brandon, FL 33511
Phone (813) 382-8684
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Brandon, FL
- NPI 1659781615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684540800000",
"number": "1972784510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14",
"city": "BRANDON",
"state": "FL",
"postal_code": "335090014",
"telephone_number": "813-480-8482",
"fax_number": "813-651-4402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 COOK ST",
"city": "BRANDON",
"state": "FL",
"postal_code": "335115216",
"telephone_number": "813-727-0058",
"fax_number": "813-651-4402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "NANCY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-26",
"last_updated": "2023-05-20",
"certification_date": "2023-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW7952",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.