Individual provider · Type 1 NPI

Susan Riddle Gordon, LCSW

Clinical Social Worker · Tifton, GA

NPI number 1285678359 Active

Practice location

2402 Tift Ave N, Suite 102
Tifton, GA 31794-1883

Fax (229) 382-2181

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCSW003185 (GA)

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 1285678359

Susan Riddle Gordon, LCSW's National Provider Identifier is 1285678359, issued on Jun 16, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Tifton, GA. The record was last updated on Dec 2, 2008.