Gordon, Shawn Michelle
Gordon, Shawn Michelle is an individual health care provider with primary practice located at 7401 Wiles Rd Ste 339 , Coral Springs FL 33067-2036. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Gordon, Shawn Michelle can be contacted via phone (954) 341-7774.Contact Information
Primary practice address
7401 Wiles Rd Ste 339
Coral Springs FL 33067-2036
Phone: (954) 341-7774
Fax: (954) 903-1650
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | SW8335 | Florida |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW8335 | Florida |
Profile Details
NPI number | 1881791267 |
---|---|
LBN Legal business name | Gordon, Shawn Michelle |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 20th, 2006 |
Last updated | Mar 21st, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1881791267 | NPPES |
Florida | MEDICAID | 7676948 |
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