David E Gordon in Amherst - Clinical

David E Gordon - NPI 1821133554

David E Gordon is a Clinical in Amherst, New York. David E Gordon practices all healthcare services and medical treatments related to Clinical. The NPI Number for David E Gordon is 1821133554. The last update date is 2018-12-27.

David E Gordon's current location address is 15 Cascade Dr, Amherst, New York. You can contact this provider via phone number 7169702182. The mailing address for David E Gordon is 15 Cascade Dr, Amherst, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name David E Gordon
Address 15 Cascade Dr, Amherst, New York
Phone Number 7169702182
Fax Number
Sole Proprietor Y
Credentials LCSW-R

NPI Number Detail

NPI Number 1821133554
Provider Enumeration Date 2007-02-20
Last Updated Date 2018-12-27

Provider Mailing Address Detail

Address 15 Cascade Dr
City Amherst
State New York (NY)
Post Code 142281827
Phone Number 7169702182
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 52675
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
525347001 NY BLUE CROSS OF WNY

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FAQs about David E Gordon

What is the unique identifier code issued to David E Gordon by the Centers for Medicare & Medicaid Services?

The David E Gordon has been assigned the NPI (National Provider Identifier) 1821133554. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of David E Gordon?

The David E Gordon is physically situated at 15 Cascade Dr, in the city of Amherst, state of NY, with the postal code 142281827.

What is David E Gordon's specialized field of practice, and what is the corresponding taxonomy classification code?

The David E Gordon's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.

On what date did David E Gordon receive its 1821133554 assignment from the Centers for Medicare & Medicaid Services?

The David E Gordon was assigned its 1821133554 on 2007-02-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the David E Gordon's details last updated?

The information pertaining to the David E Gordon, including its address, specialty, and other details, was most recently updated on 2018-12-27.

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