| Sheila H Gordon Lcsw Pc | |
|
6353 Center Dr Suite 204 Building 8 Norfolk VA 23502-4112 | |
| (757) 461-3313 | |
| (757) 461-8363 |
| Full Name | Sheila H Gordon Lcsw Pc |
|---|---|
| Speciality | Social Worker |
| Location | 6353 Center Dr, Norfolk, Virginia |
| Authorized Official Name and Position | Sheila H Gordon (PRESIDENT) |
| Authorized Official Contact | 7574613313 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sheila H Gordon Lcsw Pc 6353 Center Dr Suite 204 Building 8 Norfolk VA 23502-4112 Ph: (757) 461-3313 | Sheila H Gordon Lcsw Pc 6353 Center Dr Suite 204 Building 8 Norfolk VA 23502-4112 Ph: (757) 461-3313 |
| NPI Number | 1811139157 |
|---|---|
| Provider Enumeration Date | 04/01/2009 |
| Last Update Date | 04/01/2009 |
| Medicare PECOS PAC ID | 9335219708 |
|---|---|
| Medicare Enrollment ID | O20090720000393 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811139157 | NPI | - | NPPES |
| 008909644 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 002376 (Virginia) | Primary |
| Provider Name | Sheila H Gordon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417968553 PECOS PAC ID: 7517037989 Enrollment ID: I20090720000336 |
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