MS. LISA G GORDON (NPI# 1780732107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780732107 |
| Entity Type | Individual |
| Full Name | MS. LISA G GORDON |
| Credential | LCSW |
| Practice Address |
6800 Backlick Rd Suite #202 Springfield VA 22150-3070 |
| Practice Telephone | 7039210692 |
| Practice Fax Number | 7039210637 |
| Mailing Telephone | 7039210692 |
| Mailing Fax Number | 7039210637 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2009-06-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 0904003348 | VA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OPTIMUM CHOICE | 268559 | 01 | |
| BCBS | 4294 | 01 | |
| MDIPA | 268559 | 01 | |
| CIGNA | 2037724 | 01 | |
| MAGELLAN BEHAVIORAL HEALT | IP282455 | 01 | |
| MAMSI | 268559 | 01 | |
| AETNA | 282455 | 01 | |
| ANTHEM HEALTHKEEPERS | 182922 | 01 | |
| MHN | 323386 | 01 | |
| VALUE OPTIONS | 126464 | 01 | |
| GREAT WEST HEALTHCARE | 1550330001 | 01 | |
| UNITED HEALTH CARE | 104300 | 01 | |
| HEALTHNET FEDERAL SERVICE | 126464 | 01 | |
| ALLIANCE | 268559 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629551726 | Lisa Gordon | Counselor | 1245 Mount Vernon Ave, Columbus, OH 43203-1578 | 2018-09-13 |
| 1639591548 | Lisa Gordon | Social Worker | 9500 Arena Dr Ste 460c, Largo, MD 20774-3755 | 2014-01-11 |
| 1063504041 | Lisa Jane Gordon | Chiropractor | 5053 Durham Rd W, Columbia, MD 21044-1449 | 2006-09-28 |
| 1912921966 | Lisa Green Gordon | Psychiatry & Neurology | 219 W. Patrick Street, Suite 100, Behavioral Health Partners, Inc., Frederick, MD 21701 | 2006-07-26 |
| 1992723910 | Lisa Joy Gordon | Social Worker | 5904 E Bramble Berry Ln, Cave Creek, AZ 85331-1577 | 2006-07-17 |
| 1861478984 | Lisa A Gordon | Family Medicine | 108 Belmont St, Worcester, MA 01605-4902 | 2005-12-20 |
| 1154981967 | Lisa Barbara Gordon | Speech-Language Pathologist | 8301 161st Ave Ne Ste 208, Redmond, WA 98052-3858 | 2019-06-14 |
| 1003272881 | Lisa Gordon | Speech-Language Pathologist | 1010 E 10th St, Tucson, AZ 85719-5813 | 2016-01-08 |
| 1497187744 | Lisa Gordon | Nurse Practitioner | 1175 Cook Rd, Suite 230, Orangeburg, SC 29118-8201 | 2013-08-08 |
| 1871895250 | Lisa Gordon | Counselor | 2225 N Charles St, Baltimore, MD 21218-5778 | 2010-11-17 |
| Street Address |
6800 BACKLICK RD SUITE #202 |
| City | SPRINGFIELD |
| State | VA |
| Zip Code | 22150-3070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568495661 | Shayda Mankooei | Chiropractor | 6800 Backlick Rd, Suite 100, Springfield, VA 22150-3070 | 2006-07-09 |
| 1164835922 | Mankooei Chiropractic Center, Inc | Chiropractor | 6800 Backlick Rd, Suite 100, Springfield, VA 22150-3070 | 2014-06-09 |
| 1982852612 | James Jinwook Chun | Dentist | 6800 Backlick Rd, Suite 101, Springfield, VA 22150-3070 | 2008-09-06 |
| 1841473634 | Seung Wook Kim | Dentist | 6800 Backlick Rd, Suite #101, Springfield, VA 22150-3070 | 2007-12-14 |
| 1952431629 | Gary Lee Gordon | Social Worker | 6800 Backlick Rd, Suite 202, Springfield, VA 22150-3070 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083086946 | Karla Maria Bonilla Chico | Dentist | Privada Monte Everest 1982-14, Residencial La Cuspide, Tijuana, BAJA CALIFORNIA 22150 | 2015-10-30 |
| 1093108219 | Ezra Healthcare, Inc | Home Health | 6803 Backlick Road, Suit 'b', Springfield, VA 22150 | 2015-03-12 |
| 1144611567 | Grace Home Care, LLC | Home Health | 5827 Columbia Pike Suite 211, Springfield, VA 22150 | 2015-02-06 |
| 1174938245 | Rocio Robles | Speech-Language Pathologist | 7001 A Loisdale Road, Springfield, VA 22150 | 2014-06-26 |
| 1538598149 | Johns Hopkins Pharmaquip, Inc. | Durable Medical Equipment & Medical Supplies | 7411 Alban Station Court, Suite A100, Springfield, VA 22150 | 2013-11-04 |
| 1861785958 | Sienna Vorono Winer | Pediatrics | 6501 Loisdale Ct., Springfield, VA 22150 | 2011-05-23 |
| 1023342870 | M & T Universal Health Services, LLC | Home Health | 6315 Backlick Rd Ste 308, Springfield, VA 22150 | 2009-09-28 |
| 1316127533 | Yong Hyun Kim | Dentist | 6525-c Frontier Dr., Springfield, VA 22150 | 2007-11-05 |
| 1437234655 | Metropolitan Radiology Assoc Chtd | Radiology | 6128 Brandon Avenue, Suite 205, Springfield, VA 22150 | 2006-10-26 |
| 1033217179 | Allison Nayer | Occupational Therapist | The Chesapeake Center, Inc., 6506 Loisdale Rd., Suite 300, Springfield, VA 22150 | 2006-09-20 |
| Find all providers in zip 22150 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513193 | Abigayle Anastasia Augustus | Social Worker | 161 Saffron Cir, Springfield, MA 01129-1514 | 2020-09-22 |
| 1063034742 | Ann Sarah Engel | Social Worker | 2101 E Watch Ave Apt 6, Springfield, IL 62702-6802 | 2020-05-15 |
| 1225670912 | Barbara A Otto | Social Worker | 3047 Willow Rd, Springfield, OH 45502-9073 | 2019-10-14 |
| 1326697509 | Nathalie Orelien | Social Worker | 267 Beacon Cir, Springfield, MA 01119-2047 | 2019-09-10 |
| 1306401617 | Laurie T Lauture-best | Social Worker | 25 Laurence St, Springfield, MA 01104-2607 | 2019-05-02 |
| 1881157121 | Amber Renee Hartman Ortez | Social Worker | 1514 S Fountain Ave, Springfield, OH 45506-2718 | 2019-04-12 |
| 1790241800 | Margaret Mary Hart | Social Worker | 1845 S Rogers Ave, Springfield, MO 65804 | 2019-02-13 |
| 1447722061 | Arielle Coutinho | Social Worker | 343 Milltown Rd, Springfield, NJ 07081 | 2018-12-20 |
| 1740761931 | Laurie Sullivan | Social Worker | 112 Industry Ave, Springfield, MA 01104-3349 | 2018-08-24 |
| 1427546076 | Terrisue Jean Malone | Social Worker | 1918 Mechanicsburg Rd Apt Suite, Springfield, OH 45503-3147 | 2018-04-30 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 22150 |
Please comment or provide details below to improve the information on MS. LISA G GORDON.
| 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.