Alan R Gordon, LCSW PHD is a
Social Worker - Clinical based in Havana, Florida. Alan R Gordon is licensed to practice in Florida (license number SW 1967) and his current practice location is
797 Beaver Creek Ln, Havana, Florida. He can be reached at his office (for appointments etc.) via phone at
(850) 539-4053.
NPI number for Alan R Gordon is 1104985969 and his current mailing address is 797 Beaver Creek Ln, Havana, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104985969.
Healthcare Provider's Profile
Full Name | Alan R Gordon |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 797 Beaver Creek Ln, Havana, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1104985969
- Provider Enumeration Date: 12/07/2006
- Last Update Date: 12/28/2011
Medical Identifiers
Medical identifiers for Alan R Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104985969 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | SW 1967 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alan R Gordon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Alan R Gordon, LCSW PHD 797 Beaver Creek Ln, Havana, FL 32333-4731 Ph: (850) 539-4053 | Alan R Gordon, LCSW PHD 797 Beaver Creek Ln, Havana, FL 32333-4731 Ph: (850) 539-4053 |
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