Ms Sarah M Gordon, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Charlotte, North Carolina. Her current practice location is
118 S Colonial Ave Ste 300, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(704) 332-3034.
Ms Sarah M Gordon is licensed to practice in North Carolina (license number C001967) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1376568592.
Healthcare Provider's Profile
| Full Name | Ms Sarah M Gordon |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 118 S Colonial Ave Ste 300, Charlotte, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1376568592
- Provider Enumeration Date: 07/12/2006
- Last Update Date: 05/04/2022
Medicare PECOS Information:
- PECOS PAC ID: 7719368414
- Enrollment ID: I20220712003637
Medical Identifiers
Medical identifiers for Ms Sarah M Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376568592 | NPI | - | NPPES |
| 6002505 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | C001967 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | C001967 (North Carolina) | 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 Sarah M Gordon is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Sarah M Gordon, LCSW
118 S Colonial Ave Ste 300,
Charlotte, NC 28207-1400
Ph: (704) 332-3034 | Ms Sarah M Gordon, LCSW
118 S Colonial Ave Ste 300,
Charlotte, NC 28207-1400
Ph: (704) 332-3034 |
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