Jacqueline Sharon Gordon, LCSW is a
Social Worker - Clinical based in Atlanta, Georgia. Jacqueline Sharon Gordon is licensed to practice in Georgia (license number CSW009319) and her current practice location is
1870 The Exchange Se Ste 200, Atlanta, Georgia. She can be reached at her office (for appointments etc.) via phone at
(678) 661-1814.
NPI number for Jacqueline Sharon Gordon is 1073187894 and her current mailing address is 1870 The Exchange Se Ste 200, Atlanta, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073187894.
Healthcare Provider's Profile
| Full Name | Jacqueline Sharon Gordon |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 1870 The Exchange Se Ste 200, Atlanta, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1073187894
- Provider Enumeration Date: 05/17/2021
- Last Update Date: 09/29/2025
Medical Identifiers
Medical identifiers for Jacqueline Sharon Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073187894 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 26891 (Maryland) | Secondary |
| 1041C0700X | Social Worker - Clinical | CSW009319 (Georgia) | Primary |
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. Jacqueline Sharon 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 |
|---|
Jacqueline Sharon Gordon, LCSW
1870 The Exchange Se Ste 200,
Atlanta, GA 30339-2021
Ph: (706) 254-1560 | Jacqueline Sharon Gordon, LCSW
1870 The Exchange Se Ste 200,
Atlanta, GA 30339-2021
Ph: (678) 661-1814 |
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