Individual provider · Type 1 NPI

Jesse Gordon, LADC, LCSW

Clinical Social Worker · New Haven, CT

NPI number 1609443175 Active

Practice location

149 Minor St
New Haven, CT 06519-1623

Call (203) 503-3350 Map

Mailing address

190 Wooster St Apt 19
New Haven, CT 06511-5763

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X001402 (CT)
Clinical Social Worker Primary 1041C0700X15599 (CT)

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 1609443175

Jesse Gordon, LADC, LCSW's National Provider Identifier is 1609443175, issued on Jun 4, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New Haven, CT. The record was last updated on Aug 2, 2025.