Gordon, Shawn Michelle

Gordon, Shawn Michelle is an individual health care provider with primary practice located at 7401 Wiles Rd Ste 339 , Coral Springs FL 33067-2036. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Gordon, Shawn Michelle can be contacted via phone (954) 341-7774.

Contact Information

Primary practice address
7401 Wiles Rd Ste 339 Coral Springs FL 33067-2036
Phone: (954) 341-7774
Fax: (954) 903-1650
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X SW8335 Florida
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW8335 Florida

Profile Details

NPI number 1881791267
LBN Legal business name Gordon, Shawn Michelle
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Mar 21st, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881791267 NPPES
Florida MEDICAID 7676948

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