Individual provider · Type 1 NPI

Jessica Rae Gordon, LCSW

Clinical Social Worker · New York, NY

NPI number 1437866894 Active

Practice location

1177 6th Ave
New York, NY 10036-2714

Mailing address

225 E 6th St Apt 3A
New York, NY 10003-8264

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X099310-01 (NY)
Mental Health Counselor 101YM0800XNone listed

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 1437866894

Jessica Rae Gordon, LCSW's National Provider Identifier is 1437866894, issued on Nov 3, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New York, NY. The record was last updated on Jun 30, 2026.