Ms Kimberly Gordon, LMHC is a
Counselor - Mental Health based in Warren, Connecticut. Ms Kimberly Gordon is licensed to practice in New York (license number 008255) and her current practice location is
24 Sheehan Rd, Warren, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(914) 523-4924.
NPI number for Ms Kimberly Gordon is 1124627666 and her current mailing address is 24 Sheehan Rd, Warren, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124627666.
Healthcare Provider's Profile
| Full Name | Ms Kimberly Gordon |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - Mental Health |
|---|
| Location | 24 Sheehan Rd, Warren, Connecticut |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1124627666
- Provider Enumeration Date: 10/24/2020
- Last Update Date: 10/24/2020
Medical Identifiers
Medical identifiers for Ms Kimberly Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124627666 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 008255 (New York) | 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. Ms Kimberly 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 |
|---|
Ms Kimberly Gordon, LMHC
24 Sheehan Rd,
Warren, CT 06777-1008
Ph: (914) 424-0229 | Ms Kimberly Gordon, LMHC
24 Sheehan Rd,
Warren, CT 06777-1008
Ph: (914) 523-4924 |
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