Individual provider · Type 1 NPI

Douglas Gordon, LMSW

Clinical Social Worker · New York, NY

NPI number 1972832756 Active

Practice location

743-749 East 9th Street
New York, NY 10009

Mailing address

4761 Broadway, Apt. 6F
New York, NY 10034-4935

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP72876 (NY)

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 1972832756

Douglas Gordon, LMSW's National Provider Identifier is 1972832756, issued on Dec 8, 2009. 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 Dec 8, 2009.