Individual provider · Type 1 NPI

Shirlene Mineta Gordon, LCSW

Clinical Social Worker · Marietta, GA

NPI number 1982851820 Active

Practice location

1264 Emma Jean Pl SW
Marietta, GA 30064-3798

Call (770) 912-8894 Map

Fax (770) 573-7316

Mailing address

2500 Dallas Hwy SW Ste 202
Marietta, GA 30064-7505

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X002518 (GA)

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 1982851820

Shirlene Mineta Gordon, LCSW's National Provider Identifier is 1982851820, issued on Aug 21, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Marietta, GA. The record was last updated on Oct 29, 2026.