| Ms Susan M Gordon, LICSW | |
|
330 Portsmouth Ave, Greenland, NH 03840-2220 | |
| (603) 207-2197 | |
| (603) 377-8425 |
| Full Name | Ms Susan M Gordon |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 330 Portsmouth Ave, Greenland, New Hampshire |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730522913 | NPI | - | NPPES |
| 3087480 | Medicaid | NH | |
| 1730522913 | Medicaid | ME | |
| 110364 | Other | NH | MERIDIAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1675 (New Hampshire) | Primary |
| Entity Name | Pastoral Counseling Services-united Church Of Christ, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306934757 PECOS PAC ID: 2567442627 Enrollment ID: O20040721000465 |
| Entity Name | Greater Seacoast Community Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578854287 PECOS PAC ID: 2769454974 Enrollment ID: O20040809000966 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Susan M Gordon, LICSW 609 Portsmouth Ave # 304, Greenland, NH 03840-9998 Ph: (603) 207-2197 | Ms Susan M Gordon, LICSW 330 Portsmouth Ave, Greenland, NH 03840-2220 Ph: (603) 207-2197 |
Marilyn Wanyo, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 370 Portsmouth Ave, Greenland, NH 03840 Phone: 603-431-3250 | |
Bonnie Boisclair, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Bayside Rd Ste 205, Greenland, NH 03840 Phone: 603-441-2573 | |
Ms. Kimberlee Rene Heenan, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3 Hughes Ln, Greenland, NH 03840 Phone: 603-475-2118 |