Jacqueline Sharon Gordon, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Atlanta, Georgia. She graduated from healthcare school in 2019 and has 7 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
1870 The Exchange Se Ste 200, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at
(678) 661-1814.
Jacqueline Sharon Gordon is licensed to practice in Georgia (license number CSW009319) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1073187894.
Healthcare Provider's Profile
| Full Name | Jacqueline Sharon Gordon |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 7 Years |
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| Location | 1870 The Exchange Se Ste 200, Atlanta, Georgia |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jacqueline Sharon Gordon graduated from medical school in 2019
NPI Data:
- NPI Number: 1073187894
- Provider Enumeration Date: 05/17/2021
- Last Update Date: 09/29/2025
Medicare PECOS Information:
- PECOS PAC ID: 4082189980
- Enrollment ID: I20260419000008
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 |
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| 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
enrolled with medicare and thus, if eligible, can 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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