Shannon Terrell Gordon, LCSW is a
Social Worker - Clinical based in Forsyth, Georgia. Shannon Terrell Gordon is licensed to practice in Georgia (license number CSW001459) and her current practice location is
79 Kyndall Ln, Forsyth, Georgia. She can be reached at her office (for appointments etc.) via phone at
(478) 954-6802.
NPI number for Shannon Terrell Gordon is 1306948393 and her current mailing address is 79 Kyndall Ln, Forsyth, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306948393.
Healthcare Provider's Profile
Full Name | Shannon Terrell Gordon |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 79 Kyndall Ln, Forsyth, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1306948393
- Provider Enumeration Date: 09/01/2006
- Last Update Date: 05/15/2024
Medical Identifiers
Medical identifiers for Shannon Terrell Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306948393 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | CSW001459 (Georgia) | 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. Shannon Terrell 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 |
Shannon Terrell Gordon, LCSW 79 Kyndall Ln, Forsyth, GA 31029-8747 Ph: (478) 954-6802 | Shannon Terrell Gordon, LCSW 79 Kyndall Ln, Forsyth, GA 31029-8747 Ph: (478) 954-6802 |
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