MS. KRYSTAL MI'CHAL GORDON (NPI# 1366513012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366513012 |
| Entity Type | Individual |
| Full Name | MS. KRYSTAL MI'CHAL GORDON |
| Credential | LCSW |
| Practice Address |
546 W Compton Blvd Compton CA 90220-3011 |
| Mailing Address |
Po Box 3044 Lakewood CA 90711-3044 |
| Practice Telephone | 3108852117 |
| Practice Fax Number | 3105379653 |
| Mailing Telephone | 3108852117 |
| Mailing Fax Number | 3105379653 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2013-10-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCS 29762 | CA | Behavioral Health & Social Service Providers |
| N | 225400000X | Rehabilitation Practitioner | ASW20095 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568022523 | Krystal Gordon | Nurse Practitioner | 4300 Kings Hwy Ste 500, Port Charlotte, FL 33980-2953 | 2019-06-20 |
| Street Address |
546 W COMPTON BLVD |
| City | COMPTON |
| State | CA |
| Zip Code | 90220-3011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922301290 | Alice Elizabeth James | Registered Nurse | 546 W Compton Blvd, Compton, CA 90220-3011 | 2010-12-08 |
| 1639346224 | Compton Fsp Program | Case Management | 546 W Compton Blvd, Compton, CA 90220-3011 | 2008-05-13 |
| 1497921712 | Compton Fsp Program | Case Management | 546 W Compton Blvd, Compton, CA 90220-3011 | 2008-05-06 |
| 1366612269 | Compton Mental Health | Registered Nurse | 546 W Compton Blvd, Compton, CA 90220-3011 | 2008-03-06 |
| 1578747457 | Emmanuel Delacruz | Psychiatry & Neurology | 546 W Compton Blvd, Compton, CA 90220-3011 | 2007-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710490925 | Vivian Carolina Cariat | Interpreter | 2499 S. Wilmington Ave., Compton, CA 90220 | 2017-11-09 |
| 1366971632 | Bradlisia Dixon | Marriage & Family Therapist | 15116 S. Gibson Ave., East Rancho Dominguez, CA 90220 | 2017-06-08 |
| 1154701373 | Hilario Enrique Ramirez | Counselor | 901 W Victoria St Ste Fng, Compton, CA 90220 | 2015-06-03 |
| 1366841306 | Jessica Lisbet Diaz | Counselor | 901 W Victoria St. Suite F & G, Compton, CA 90220 | 2014-08-15 |
| 1134466709 | Compassion Care Center | Clinic/Center | 601 S. Arcacia Ave., Compton, CA 90220 | 2013-01-15 |
| 1881931905 | Compassion Care Center, Inc. | Clinic/Center | 900 W. Grenleaf Ave., Compton, CA 90220 | 2013-01-09 |
| 1699033902 | Crittenton Children Andfamily Services | Community/Behavioral Health | 2939 East Pacific Commerce Drive, Rancho Dominguez, CA 90220 | 2012-04-25 |
| 1285909226 | Talatu Peters Oyefeso | Physician Assistant | 701 S. Sante Fe Ave. #5194, Compton, CA 90220 | 2012-03-08 |
| 1881966307 | Nancy Urena | Counselor | 901 W. Victoria St Suite F & G, Compton, CA 90220 | 2012-01-30 |
| 1831470756 | Vanessa Guadalupe Sanchez | Case Manager/Care Coordinator | 1303 West Walnut Park Way, Compton, CA 90220 | 2011-09-06 |
| Find all providers in zip 90220 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083101125 | Rihana Acklin | Social Worker | 625 W Laurel St, Compton, CA 90220-3629 | 2018-04-14 |
| 1780109462 | Lisete Gomez | Social Worker | 509 E Rosecrans Avenue, Compton, CA 90221 | 2017-08-03 |
| 1659715092 | Jennifer Lynne Van Loy | Social Worker | 3209 N Alameda St Ste J&k, Compton, CA 90222-1406 | 2013-04-27 |
| 1235434226 | Ramona R Stevens | Social Worker | 322 W Compton Blvd Ste 203, Compton, CA 90220-6636 | 2011-01-21 |
| 1760795538 | Andrew Browne | Social Worker | 901 W Victoria St # Fg, Compton, CA 90220-5807 | 2010-07-21 |
| 1609103043 | Enelida Alvarez | Social Worker | 1612 W 145th St, Compton, CA 90220-1431 | 2009-11-05 |
| 1689795528 | Tina Rene Williams | Social Worker | 318 W Palmer St, Compton, CA 90220-2107 | 2007-04-02 |
| 1871610964 | Deborah Lambert | Social Worker | 901 W, Victoria Street, Ste. F&g, Compton, CA 90220-3110 | 2007-03-23 |
| 1376688226 | Pamela C Robertson | Social Worker | 1085 W Victoria St, Compton, CA 90220-5804 | 2007-02-20 |
| 1396823944 | Madelynn Jhaine Lambkins | Social Worker | 921 East Compton Boulevard, First Floor, Compton, CA 90221-3303 | 2006-11-01 |
| Find all providers in COMPTON | ||||
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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.