DANIEL RICHARD GORDON (NPI# 1891963724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891963724 |
| Entity Type | Individual |
| Full Name | DANIEL RICHARD GORDON |
| Credential | MSW, LADC |
| Practice Address |
56 Church St Waterbury CT 06702-2103 |
| Mailing Address |
27 Stanley Ave P.o. Box 32 Oakville CT 06779-1338 |
| Practice Telephone | 2037551196 |
| Practice Fax Number | 2035759675 |
| Mailing Telephone | 8604179879 |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2008-02-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
000677 | CT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821311192 | Daniel Gordon | Internal Medicine | 3311 Labyrinth Rd, Baltimore, MD 21215-1729 | 2010-03-01 |
| 1376875955 | Daniel M Gordon | Internal Medicine | 825 Colonna Ln, Nazareth, PA 18064-9181 | 2010-02-05 |
| 1649429242 | Daniel Adam Gordon | Social Worker | 5325 S Hyde Park Blvd, Chicago, IL 60615-5720 | 2008-09-18 |
| 1376706622 | Daniel M Gordon | Psychologist | 1518 Walnut St Ste 1202, Philadelphia, PA 19102-3407 | 2008-07-08 |
| 1144342601 | Daniel Mark Gordon | Psychiatry & Neurology | 620 California Blvd Ste P, San Luis Obispo, CA 93401-2590 | 2007-04-04 |
| 1871623009 | Daniel Joshua Gordon | Optometrist | 120 County Rd, Tenafly, NJ 07670-1854 | 2007-03-06 |
| 1952416240 | Daniel Steven Gordon | Chiropractor | 7887 Cooley Lake Rd, Ste 120, West Bloomfield, MI 48324-3531 | 2006-08-20 |
| 1942767686 | Daniel Gordon | Nurse Practitioner | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2019-03-01 |
| 1467862813 | Daniel Gordon | Family Medicine | 63 W Gibson St, Hartwell, GA 30643-1845 | 2014-05-06 |
| 1821384280 | Daniel J Gordon | Family Medicine | 3231 Mcmullen Booth Rd, Safety Harbor, FL 34695-6607 | 2011-06-23 |
| Street Address |
56 CHURCH ST |
| City | WATERBURY |
| State | CT |
| Zip Code | 06702-2103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699313676 | Holly June Sheldon | Student in an Organized Health Care Education/Training Program | 56 Church St, Waterbury, CT 06702-2103 | 2019-12-20 |
| 1417595570 | Tanisha Fougy | Student in an Organized Health Care Education/Training Program | 56 Church St, Waterbury, CT 06702-2103 | 2019-12-19 |
| 1093374449 | Lillian Elizabeth Arrington | Marriage & Family Therapist | 56 Church St, Waterbury, CT 06702-2103 | 2019-06-10 |
| 1023582335 | Emelinda Rosa Montanez | Counselor | 56 Church St, Waterbury, CT 06702-2103 | 2019-01-20 |
| 1851874952 | Tonya V. Chever | Counselor | 56 Church St, Waterbury, CT 06702-2103 | 2018-09-13 |
| 1417449372 | Jacenya Marie Quinones | Student in an Organized Health Care Education/Training Program | 56 Church St, Waterbury, CT 06702-2103 | 2018-06-05 |
| 1245741529 | Yafah Hampton | Social Worker | 56 Church St, Waterbury, CT 06702-2103 | 2017-10-13 |
| 1245756030 | Carol Crowley | Counselor | 56 Church St, Waterbury, CT 06702-2103 | 2017-08-14 |
| 1659757169 | Izamari Garcia | Social Worker | 56 Church St, Waterbury, CT 06702-2103 | 2015-08-06 |
| 1811286990 | Frederick Allan Hyman | Counselor | 56 Church St, Waterbury, CT 06702-2103 | 2011-03-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780120295 | Melitza Velez | Counselor | 80 Prospect St., Waterbury, CT 06702 | 2017-01-09 |
| 1467813600 | Ashley Joseph | Counselor | 30 Holmes Ave, Waterbury, CT 06702 | 2016-03-16 |
| 1649662313 | Lori Arens | Social Worker | 141 E Main St Fl 4, Waterbury, CT 06702 | 2015-03-04 |
| 1265725584 | Zelda Shleifer | Audiologist | 21 W Main St Fl Place-3, Waterbury, CT 06702 | 2011-05-19 |
| 1700024585 | Charlene Angela Jurgaitis | Durable Medical Equipment & Medical Supplies | 102 Grand Street, Waterbury, CT 06702 | 2009-02-02 |
| 1518090570 | Nathan Z Imre | Pharmacist | 161 East Main St Central Pharmacy, Waterbury, CT 06702 | 2007-03-13 |
| 1922149467 | Rachael A Petitti | Social Worker | 402 East Main Street, Waterbury, CT 06702 | 2007-02-09 |
| 1710024484 | Abbot Terrace Health Center | Assisted Living Facility | 44 Abbott Terrace, Waterbury, CT 06702 | 2007-01-31 |
| 1205994555 | Michael Arcangel Padilla | Social Worker | Western Connecticut Mental Health Network, 55 West Main Street Suite 410, Waterbury, CT 06702 | 2006-12-05 |
| 1205902723 | Colette M Anderson | Social Worker | 55 West Main St Suite 410, Western Connecticut Mental Health Network, Waterbury, CT 06702 | 2006-11-27 |
| Find all providers in zip 06702 | ||||
| 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 |
|---|---|---|---|---|
| 1639786072 | Cassandra Lynn Manger | Social Worker | 255 Bank St, Waterbury, CT 06702-2219 | 2020-09-29 |
| 1033720198 | Jacqueline A Roscoe | Social Worker | 115 Kara Dr, Waterbury, CT 06704-1573 | 2020-08-12 |
| 1477195386 | Mayte Stephanie Robalino | Social Worker | 96 Dikeman St, Waterbury, CT 06704-3905 | 2019-10-11 |
| 1144874819 | Chantell Paris | Social Worker | 98 Dikeman St, Waterbury, CT 06704-3905 | 2019-07-30 |
| 1720563976 | Aubry Fappiano | Social Worker | 800 Country Club Rd, Waterbury, CT 06708-3240 | 2018-10-03 |
| 1992209530 | Valley Wellness Consulting Group LLC | Social Worker | 969 W Main Street, Suite 3e, Waterbury, CT 06708 | 2018-03-20 |
| 1093252090 | Miranda Jones | Social Worker | 135 Roseland Ave, Waterbury, CT 06710-1411 | 2017-01-27 |
| 1447792833 | Carla L. Guglielmo | Social Worker | 422 Highland Ave, Waterbury, CT 06708-3443 | 2016-11-16 |
| 1649662313 | Lori Arens | Social Worker | 141 E Main St Fl 4, Waterbury, CT 06702 | 2015-03-04 |
| 1437554573 | Megan O'connor | Social Worker | 203 Eastside Blvd, Waterbury, CT 06706-2847 | 2014-10-31 |
| Find all providers in WATERBURY | ||||
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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.