Individual provider · Type 1 NPI

Nicole L. Gordon, LSW

Clinical Social Worker · Towanda, PA

NPI number 1144980699 Active

Practice location

115 Hillcrest Dr
Towanda, PA 18848-8164

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XLW61666708 (WA)
Clinical Social Worker Primary 1041C0700XCW025576 (PA)
Clinical Social Worker 1041C0700X103495 (NY)
Clinical Social Worker 1041C0700X34561 (MD)
Clinical Social Worker 1041C0700X44SC06709600 (NJ)

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 1144980699

Nicole L. Gordon, LSW's National Provider Identifier is 1144980699, issued on Dec 26, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Towanda, PA. The record was last updated on Sep 23, 2026.