| Lisa Joy Gordon Llc | |
|
5904 E Bramble Berry Ln Cave Creek AZ 85331-1577 | |
| (248) 376-5114 | |
| Not Available |
| Full Name | Lisa Joy Gordon Llc |
|---|---|
| Speciality | Social Worker |
| Location | 5904 E Bramble Berry Ln, Cave Creek, Arizona |
| Authorized Official Name and Position | Lisa Joy Gordon (LCSW / OWNER) |
| Authorized Official Contact | 2483765114 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Joy Gordon Llc 5904 E Bramble Berry Ln Cave Creek AZ 85331-1577 Ph: (248) 376-5114 | Lisa Joy Gordon Llc 5904 E Bramble Berry Ln Cave Creek AZ 85331-1577 Ph: (248) 376-5114 |
| NPI Number | 1184285132 |
|---|---|
| Provider Enumeration Date | 06/20/2019 |
| Last Update Date | 09/27/2020 |
| Certification Date | 09/27/2020 |
| Medicare PECOS PAC ID | 3173851417 |
|---|---|
| Medicare Enrollment ID | O20190823000994 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184285132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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