JENNIFER E GORDON (NPI# 1063786564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063786564 |
| Entity Type | Individual |
| Full Name | JENNIFER E GORDON |
| Practice Address |
13726 S Old State Rd Ellendale DE 19941-3330 |
| Practice Telephone | 3024242080 |
| Mailing Telephone | 3024242080 |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2012-03-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366052581 | Jennifer Lynn Gordon | Technician | 142 Argyle St, Keyser, WV 26726-3329 | 2020-08-03 |
| 1093969842 | Jennifer Marie Gordon | Case Manager/Care Coordinator | 322 N Shore Dr Ste 200, Pittsburgh, PA 15212-5875 | 2008-11-06 |
| 1093979064 | Jennifer Lynn Gordon | Registered Nurse | 516 1/2 Cleveland Blvd, Fayetteville, NY 13066-1110 | 2008-07-17 |
| 1831386101 | Jennifer Ann Gordon | Emergency Medicine | 638 Columbus Ave, New York, NY 10024-1406 | 2007-10-01 |
| 1831241777 | Jennifer Leigh Gordon | Physical Therapist | 17066 Hwy 3, Webster, TX 77598 | 2007-01-18 |
| 1699877464 | Jennifer L. Gordon | Dentist | 1181 Central Blvd Ste E, Brentwood, CA 94513-2252 | 2006-09-02 |
| 1437112034 | Jennifer Gordon | Specialist/Technologist | 2502 Derby Dr, Fallston, MD 21047-1208 | 2006-04-06 |
| 1487615027 | Jennifer Gordon | Physical Therapist | 14999 Health Center Dr Ste 201, Bowie, MD 20716-1087 | 2006-03-31 |
| 1932182912 | Jennifer Gordon | Psychologist | 1639 E 19th Ave, Eugene, OR 97403-1902 | 2005-11-23 |
| 1427667864 | Jennifer Julien Gordon | Occupational Therapist | 3767 Delaware Ave, Kenmore, NY 14217-1040 | 2020-07-30 |
| Street Address |
13726 S OLD STATE RD |
| City | ELLENDALE |
| State | DE |
| Zip Code | 19941-3330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104062470 | Robbin Myerberg | Counselor | 13726 S Old State Rd, Ellendale, DE 19941-3330 | 2008-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629255732 | Carol Pearsall | Counselor | 13726 S. Old State Rd, Ellendale, DE 19941 | 2008-01-31 |
| 1619154721 | Vonda Deputy-smith | Counselor | 13726 S. Old State Road, Ellendale, DE 19941 | 2008-01-31 |
| 1548443799 | Gloria V. Phillips | Counselor | 13726 South Old State, Ellendale, DE 19941 | 2007-12-11 |
| 1821271073 | Denise M Wilson | Counselor | 13726 South Old State Road, Ellendale, DE 19941 | 2007-12-11 |
| 1174682348 | Teresa Ann Ysaguirre | Counselor | 12649 N. Dupont Blvd., Ellendale, DE 19941 | 2006-12-06 |
| 1184738601 | Kent/sussex Detoxification Center | Substance Abuse Rehabilitation Facility | 700 Main Street, Ellendale, DE 19941 | 2006-08-19 |
| 1720261977 | Donna Bolger | Counselor | 13726 South Old State Road, Ellendale, DE 19941 | 2007-12-11 |
| 1295377190 | Tina Moyer | Counselor | 700 Main St, Ellendale, DE 19941-2066 | 2019-10-11 |
| 1114587276 | Jennifer Dize | Counselor | 700 Main St, Ellendale, DE 19941-2066 | 2019-06-19 |
| 1588227599 | Sujati Kartini Santohir | Counselor | 700 Main St, Ellendale, DE 19941-2066 | 2019-04-16 |
| Find all providers in zip 19941 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104062470 | Robbin Myerberg | Counselor | 13726 S Old State Rd, Ellendale, DE 19941-3330 | 2008-12-17 |
| 1629255732 | Carol Pearsall | Counselor | 13726 S. Old State Rd, Ellendale, DE 19941 | 2008-01-31 |
| 1619154721 | Vonda Deputy-smith | Counselor | 13726 S. Old State Road, Ellendale, DE 19941 | 2008-01-31 |
| 1548443799 | Gloria V. Phillips | Counselor | 13726 South Old State, Ellendale, DE 19941 | 2007-12-11 |
| 1821271073 | Denise M Wilson | Counselor | 13726 South Old State Road, Ellendale, DE 19941 | 2007-12-11 |
| 1295377190 | Tina Moyer | Counselor | 700 Main St, Ellendale, DE 19941-2066 | 2019-10-11 |
| 1114587276 | Jennifer Dize | Counselor | 700 Main St, Ellendale, DE 19941-2066 | 2019-06-19 |
| 1588227599 | Sujati Kartini Santohir | Counselor | 700 Main St, Ellendale, DE 19941-2066 | 2019-04-16 |
| 1760045959 | Dawn Marie Goldsborough | Counselor | 700 Main St, Ellendale, DE 19941-2066 | 2019-04-15 |
| 1235692831 | Trisha Johnson | Counselor | 700 Main St, Ellendale, DE 19941-2066 | 2019-04-10 |
| Find all providers in ELLENDALE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.