MISS TRACY GORDON (NPI# 1720102155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720102155 |
| Entity Type | Individual |
| Full Name | MISS TRACY GORDON |
| Credential | LCSW |
| Practice Address |
25050 Avenue Kearny Suite 201 Valencia CA 91355-1255 |
| Practice Telephone | 6618575935 |
| Mailing Telephone | 6618575935 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2013-08-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCS 22738 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689064529 | Tracy Lee Gordon | Home Health Aide | 333 E. College St, Alliance, OH 44601 | 2015-01-30 |
| 1740688241 | Tracy L Gordon | Contractor | 3316 Woodside Dr, Fairfield, OH 45014-5023 | 2014-12-15 |
| 1942204763 | Tracy A Gordon | Anesthesiology | 1205 S Telshor Blvd, Las Cruces, NM 88011-4748 | 2005-06-09 |
| 1225305519 | Tracy Marie Gordon | Registered Nurse | 3601 S 6th Ave, Tucson, AZ 85723-0001 | 2011-11-30 |
| 1649430695 | Tracy Gordon | Social Worker | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2008-06-12 |
| Street Address |
25050 AVENUE KEARNY SUITE 201 |
| City | VALENCIA |
| State | CA |
| Zip Code | 91355-1255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568003077 | Nicole Penick | Psychologist | 25050 Avenue Kearny, Valencia, CA 91355-1255 | 2019-10-06 |
| 1659565398 | Manjit Walia | Psychologist | 25050 Avenue Kearny, Suite 114, Valencia, CA 91355-1255 | 2007-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447874730 | Deborah Colleen Rheinfurth | Registered Nurse | 25727 Mcbean Parkway, Valencia, CA 91355 | 2020-06-02 |
| 1396368106 | Carla Patricia Ponce | Behavior Technician | 25115 W, Avenue Stanford Suite A100, Santa Clarita, CA 91355 | 2020-05-27 |
| 1578197661 | Kathleen Megan Murphy Cross | Counselor | 24307 Magic Mountain Pkwy, #260, Valencia, CA 91355 | 2020-02-27 |
| 1780226340 | Logan Veis | Behavior Technician | 25515 Avenue Stanford, Suite A100, Valencia, CA 91355 | 2019-10-15 |
| 1376192906 | Yosef Desta | Behavior Technician | 25115 Ave Standard, Suit A100, Valencia, CA 91355 | 2019-09-06 |
| 1063060960 | Michauni Kimbrew | Behavioral Analyst | 27502 Ave Scott, Ste A, Santa Clarita, CA 91355 | 2019-09-04 |
| 1427607357 | Alissa Meadow Myatt | Social Worker | Henry Mayo Newhall Hospital 23845 Mcbean Parkway, Valencia, CA 91355 | 2019-09-04 |
| 1124672761 | Genon Catarroja | Behavior Technician | 25115 W. Avenue Stanford Suite A100, Valencia, CA 91355 | 2019-08-01 |
| 1730675455 | Jaquelyn Marlene Escobar | Community Health Worker | 24525 Town Center Drive, Valencia, CA 91355 | 2018-07-05 |
| 1265922843 | Jomil Prenzirose Conste | Behavior Technician | 25115 Avenue M14 Suite A, Valencia, CA 91355 | 2018-05-18 |
| Find all providers in zip 91355 | ||||
| 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 |
|---|---|---|---|---|
| 1376027474 | Marentay, LLC | Social Worker | 1158 Pittsburgh Rd Ste 200, Valencia, PA 16059-3128 | 2018-09-24 |
| 1992196471 | Patrizia Sorge | Social Worker | 23822 Valencia Blvd Ste 204, Valencia, CA 91355-5345 | 2015-02-05 |
| 1447659982 | Paul Blount | Social Worker | 25000 Avenue Stanford Ste 229, Valencia, CA 91355-4598 | 2014-08-21 |
| 1194084608 | Kathleen Mason | Social Worker | 1186 Pittsburgh Rd, Valencia, PA 16059-3132 | 2012-05-04 |
| 1629398342 | Brigitte Pauline Bonchay | Social Worker | 25330 Silver Aspen Way Apt 232, Valencia, CA 91381-0712 | 2010-06-03 |
| 1588893846 | Graciela Ivette Argueta | Social Worker | 27201 Tourney Rd Ste 110, Valencia, CA 91355-1857 | 2009-07-08 |
| 1235395054 | Donald C Goodman | Social Worker | 28416 Constellation Rd, Valencia, CA 91355-5081 | 2008-07-31 |
| 1205967429 | Jeremee Michelle Ufano-leon | Social Worker | 27955 Smyth Dr Ste 101, Valencia, CA 91355-4037 | 2007-03-08 |
| 1275663080 | Tracy Janette Bailey | Social Worker | 25201 Avenue Tibbitts Ste 201, Valencia, CA 91355-3433 | 2007-03-07 |
| 1679625578 | Esteban Avila | Social Worker | 25379 Wayne Mills Pl, Unit 376, Valencia, CA 91355-1827 | 2007-01-18 |
| Find all providers in VALENCIA | ||||
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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.