Individual provider · Type 1 NPI
Shioban Natassia Gordon, LCSW
Clinical Social Worker · Newington, CT
Practice location
1268 Main St Ste 204
Newington, CT 06111-3043
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 012122 (CT) |
Clinical Social Worker: 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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
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- Jennifer Lyn Sakowicz, M.S., CCC-SLPSpeech-Language Pathologist Newington, CT NPI 1457629230
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About NPI 1063150795
Shioban Natassia Gordon, LCSW's National Provider Identifier is 1063150795, issued on May 23, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Newington, CT. The record was last updated on Oct 30, 2025.