Elaine Aaren Gordon, LCSW, CADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.014232 Issued in IL

Practice address

3047 N Lincoln Ave
Chicago, IL 60657-4999

Phone

(773) 494-5505

Fax

(773) 404-5837

NPI assigned

Jul 7, 2011

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 4, 2024 through Jan 4, 2028

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.

• Elaine Gordon Wellness PLLC

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1538561261

  Addiction (Substance Use Disorder)

  NPD (past) Authorized official

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355097600000",
    "number": "1972890143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3047 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606574999",
            "telephone_number": "773-494-5505",
            "fax_number": "773-404-5837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3047 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606574999",
            "telephone_number": "773-494-5505",
            "fax_number": "773-404-5837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "ELAINE",
        "middle_name": "AAREN",
        "credential": "LCSW, CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-07",
        "last_updated": "2012-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-014232",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.014232",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "27656",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "149-014232",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Adam Gordon, LCSW
• Darwin Gordon
• Dawnelle Marie-Vargas Gordon, PMHNP-BC, ARNP, APNP
• Dmitri Gordon
• Eddie O Gordon, PHARM D
• Emily Gordon, MSW, M.ED, LCSW, CST
• Erin B Gordon, M.S.W., L.C.S.W.
• Hilton Gordon, MD
• Howard Seth Gordon, MD
• Jamie Lynne Gordon, LAT, ATC

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.