Monique G Gordon, LCSW is a
Social Worker - Clinical based in Sidney, Maine. Monique G Gordon is licensed to practice in Maine (license number LC13588) and her current practice location is
3895 W River Rd, Sidney, Maine. She can be reached at her office (for appointments etc.) via phone at
(207) 547-4464.
NPI number for Monique G Gordon is 1821380015 and her current mailing address is Po Box 1805, Bangor, Maine. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1821380015.
Healthcare Provider's Profile
| Full Name | Monique G Gordon |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 3895 W River Rd, Sidney, Maine |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1821380015
- Provider Enumeration Date: 05/06/2011
- Last Update Date: 08/18/2015
Medical Identifiers
Medical identifiers for Monique G Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821380015 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | LC13588 (Maine) | Primary |
| 1041C0700X | Social Worker - Clinical | MC12638 (Maine) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Monique G Gordon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Monique G Gordon, LCSW
Po Box 1805,
Bangor, ME 04402-1805
Ph: (207) 631-4403 | Monique G Gordon, LCSW
3895 W River Rd,
Sidney, ME 04330-2434
Ph: (207) 547-4464 |
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