Individual provider · Type 1 NPI

Tracy Leatrice Gordon, LCSW

Clinical Social Worker · Stockbridge, GA

NPI number 1710635206 Active

Practice location

275 Country Club Dr
Stockbridge, GA 30281-7349

Call (770) 474-8400 Map

Fax (770) 474-3738

Mailing address

4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630

Other practice locations

  • 16701 Melford Blvd Ste 400, Bowie, MD 20715-4411 · (415) 424-4266
  • 40 Adelaide Dr, Covington, GA 30016-1931 · (609) 273-8551
  • 10775 Pioneer Trl Ste 215, Truckee, CA 96161-0234 · (415) 424-4266

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XLC24466 (ME)
Clinical Social Worker 1041C0700X0904013773 (VA)
Clinical Social Worker 1041C0700X2795 (NH)
Clinical Social Worker Primary 1041C0700XCSW009359 (GA)
Clinical Social Worker 1041C0700X28899 (MD)
Clinical Social Worker 1041C0700X095397 (NY)
Clinical Social Worker 1041C0700XSW20113 (FL)
Clinical Social Worker 1041C0700X44SC06041900 (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 1710635206

Tracy Leatrice Gordon, LCSW's National Provider Identifier is 1710635206, issued on Mar 14, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Stockbridge, GA. The record was last updated on Jun 29, 2026.