MS. SUSAN ELIZABETH GORDON (NPI# 1376030122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376030122 |
Entity Type | Individual |
Full Name | MS. SUSAN ELIZABETH GORDON |
Credential | LCADC-C |
Practice Address |
300 W 9th St Frederick MD 21701-4541 |
Practice Telephone | 6676003310 |
Practice Fax Number | 6676004060 |
Mailing Telephone | 6676003310 |
Mailing Fax Number | 6676004060 |
Enumeration Date | 2018-04-17 |
Last Update Date | 2018-04-17 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LCA-348 | MD | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053761312 | Susan Lynn Gordon | Counselor | 1525 Martin Luther King Jr Way, Seattle, WA 98122-3129 | 2016-06-17 |
1730522913 | Susan M Gordon | Social Worker | 299 Little Bay Rd, Newington, NH 03801-2742 | 2013-04-08 |
1093901225 | Susan Leigh Gordon | Physical Therapist | 530 Highland Ave, Feasterville Trevose, PA 19053-6026 | 2007-09-21 |
1295952463 | Susan Ellen Gordon | Psychologist | 1 Darnall Hall, Washington, DC 20057-0001 | 2007-04-19 |
1447345657 | Susan Merle Gordon | Psychologist | 234 Bryn Mawr Avenue, Suite 202, Bryn Mawr, PA 19010 | 2006-10-04 |
1285678359 | Susan Riddle Gordon | Social Worker | 2402 Tift Ave N, Suite 102, Tifton, GA 31794-1883 | 2006-06-16 |
1639531726 | Susan Gordon | Social Worker | 2233 Nostrand Ave, 2nd Fl., Brooklyn, NY 11210-3045 | 2016-03-28 |
1598199069 | Susan R Gordon | Physical Therapist | 600 N Robbins Rd Ste 101, Boise, ID 83702-4567 | 2013-09-02 |
1770804965 | Susan G. Gordon | Social Worker | 3020 Childrens Way # Mc5016, San Diego, CA 92123-4223 | 2010-06-22 |
1255657482 | Susan Gordon | Pharmacist | 5 Maple Rd, Voorheesville, NY 12186-9419 | 2010-04-13 |
Street Address |
300 W 9TH ST |
City | FREDERICK |
State | MD |
Zip Code | 21701-4541 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295716827 | Martha Jane Pierce | Specialist | 300 W 9th St, Frederick, MD 21701-4541 | 2005-11-10 |
1063020402 | Daisy Lopez-duke | Counselor | 300 W 9th St, Frederick, MD 21701-4541 | 2020-07-22 |
1396353710 | Caitlin Palank | Counselor | 300 W 9th St, Frederick, MD 21701-4541 | 2020-07-22 |
1851909196 | Katrina Cutshall | Social Worker | 300 W 9th St, Frederick, MD 21701-4541 | 2020-07-22 |
1831750116 | Jeffrey Thompson | Counselor | 300 W 9th St, Frederick, MD 21701-4541 | 2019-06-26 |
1174184790 | Miriam Lopez | Social Worker | 300 W 9th St, Frederick, MD 21701-4541 | 2019-06-25 |
1235799206 | Sharon Rose Espinosa | Social Worker | 300 W 9th St, Frederick, MD 21701-4541 | 2019-06-20 |
1427528207 | Kristi Renee Hallman | Social Worker | 300 W 9th St, Frederick, MD 21701-4541 | 2018-12-05 |
1871063750 | Timothy Brian Breslin | Counselor | 300 W 9th St, Frederick, MD 21701-4541 | 2018-12-04 |
1225508146 | Kim Marie Long | Counselor | 300 W 9th St, Frederick, MD 21701-4541 | 2018-12-04 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225670045 | Alana Earp | Social Worker | 810 Toll House Avenue, Frederick, MD 21701 | 2019-10-14 |
1851866065 | Main Place Treatment Centers LLC. | Clinic/Center | 127 S. Smallwood Street, Frederick, MD 21701 | 2018-10-04 |
1649775933 | Old Fashion Medicine, Inc | Internal Medicine | 95 Gatepost Lane, Apartment 1b, Frederick, MD 21701 | 2018-03-28 |
1063917938 | Kristin Deely | Nurse Practitioner | 400 West 7th Street, Cardiac Cath Lab 2nd Floor, Frederick, MD 21701 | 2018-03-24 |
1689180119 | Harwood Behavioral Health Partners, LLC | Community/Behavioral Health | 300 B Scholls Lane, Frederick, MD 21701 | 2017-12-20 |
1326590068 | Natalie Reid | Nurse Practitioner | 9093 Ridgefield Dr Ste 104, Frederick, MD 21701 | 2016-10-28 |
1649727967 | Scl Corpration | In Home Supportive Care | 550 Highland Street, Suite 110, Frederick, MD 21701 | 2016-09-02 |
1891159661 | Wellave, LLC | Clinic/Center | 411 Aviation Way Ste 245, Frederick, MD 21701 | 2016-04-07 |
1144694969 | Leslee Bry | Counselor | 120 W Church St Ste 3b, Frederick, MD 21701 | 2015-11-17 |
1851797732 | Frederick Dental | Dentist | 401 W 7th Street, Frederick Dental, Frederick, MD 21701 | 2014-11-05 |
Find all providers in zip 21701 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992344253 | Pain and Spine Specialists of Maryland, LLC | Counselor | 7200 Bank Ct Ste 120, Frederick, MD 21703-2886 | 2020-01-03 |
1558825497 | Continuum Recovery Center LLC | Counselor | 10 W College Ter Ste 200, Frederick, MD 21701-4945 | 2019-01-24 |
1245751379 | David Charles Brooks | Counselor | 20 W 3rd St # 1-b, Frederick, MD 21701-6077 | 2017-06-28 |
1194273177 | Ingrid Walker Matthews | Counselor | 141 W Patrick St Ste 205, Frederick, MD 21701-5959 | 2016-09-19 |
1669809380 | New Hope Behavioral Center LLC | Counselor | 142 6th St #3, Frederick, CO 80530-0520 | 2013-09-27 |
1548535073 | Dana M Hackey | Counselor | 22 E Second St, Frederick, MD 21701-5303 | 2012-03-16 |
1154630580 | Jeanine Aubertin | Counselor | 5948 Quinn Orchard Rd, Frederick, MD 21704-6622 | 2010-10-04 |
1851582944 | Guidelines Counseling Program | Counselor | 306 Delaware Rd, Frederick, MD 21701 | 2007-08-05 |
1295858017 | Melanie Diane Fay | Counselor | 100 E All Saints St, Department of Social Services, Frederick, MD 21701-6557 | 2007-04-08 |
1811067663 | Monocacy Counseling Center LLC | Counselor | 1207 North East St., Frederick, MD 21701 | 2006-11-09 |
Find all providers in FREDERICK |
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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.