Individual provider · Type 1 NPI

Shannon F. Gordon, LICSW

Clinical Social Worker · Worcester, MA

NPI number 1134486426 Active

Practice location

55 Lake Ave N, Umass Memorial Medical Center, Psychiatry
Worcester, MA 01655-0002

Call (774) 442-2671 Map

Fax (774) 442-5303

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X116366 (MA)

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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About NPI 1134486426

Shannon F. Gordon, LICSW's National Provider Identifier is 1134486426, issued on Apr 12, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Worcester, MA. The record was last updated on Apr 12, 2012.