Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTIN GORDON, LCSW
Active Sole ProprietorJUSTIN GORDON, LCSW is a Clinical Social Worker healthcare provider located in PEACHTREE CORNERS, Georgia. NPI 1265961205 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · PEACHTREE CORNERS, GA
Registration Details
- NPI Number
- 1265961205
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 5, 2017 (9.1723409489016 yrs)
- Last Updated
- Jun 5, 2017
- License
-
CSW005873 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6624 JIMMY CARTER BLVD STE APEACHTREE CORNERS, GA, 300711727Browse GA providers · Browse ZIP 30071
- Phone
- 4049005450
- Fax
- 4049005453
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in PEACHTREE CORNERS, GA
| Name | Credential | NPI |
|---|---|---|
| TARA ANNE COPPOLA | LCSW | 1952409294 |
| AMY E WHITAKER | LCSW | 1275773426 |
| MRS. DAYAN CARLA BOOKMAN | — | 1578872867 |
| MR. OTIS CHANDLER | LCSW | 1215212642 |
| HYUNSU SHIN | — | 1477809101 |
| KARES CLARKE | — | 1437550910 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.