Individual provider · Type 1 NPI

Diane Gordon, LICSW

Clinical Social Worker · Temple Hills, MD

NPI number 1477692937 Active

Practice location

6709 Berkshire Dr
Temple Hills, MD 20748-4060

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XLC200001959 (DC)
Clinical Social Worker 1041C0700X29535 (MD)
Clinical Social Worker Primary 1041C0700XLC200001959 (DC)
Clinical Social Worker 1041C0700X0904008521 (VA)

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 1477692937

Diane Gordon, LICSW's National Provider Identifier is 1477692937, issued on Feb 5, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Temple Hills, MD. The record was last updated on Aug 18, 2026.