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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CALLISTA ANN GORDON

Active

CALLISTA ANN GORDON is a Clinical Social Worker healthcare provider located in SOUTH BEND, Indiana. NPI 1508533555 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · SOUTH BEND, IN

Registration Details

NPI Number
1508533555
Provider Type
Individual
Gender
Female
NPI Issued
Aug 26, 2021 (4.7827994170345 yrs)
Last Updated
Aug 26, 2021

Practice Information

Address
1001 N HICKORY RD
SOUTH BEND, IN, 466153702
Browse IN providers · Browse ZIP 46615
Phone
5743145987
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in SOUTH BEND, IN

Name Credential NPI
MRS. GWENDOLYN C DEHORN L.C.S.W 1245237114
MR. MARKUS K JACKSON LCSW 1518955434
MRS. LANI C VIVIRITO LCSW 1275521106
CHRISTINE F STACEY LCSW 1558359489
MRS. KATHY BYLER MSW 1104815034
MR. TODD HEIM LMHC 1154310084
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.