Lisa Gordon, LMSW is a
Social Worker based in Pontiac, Michigan. Lisa Gordon is licensed to practice in * (Not Available) (license number ) and her current practice location is
1685 Baldwin Ave, Pontiac, Michigan. She can be reached at her office (for appointments etc.) via phone at
(248) 706-3450.
NPI number for Lisa Gordon is 1558958207 and her current mailing address is 18649 Garfield, Redford, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558958207.
Healthcare Provider's Profile
| Full Name | Lisa Gordon |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 1685 Baldwin Ave, Pontiac, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1558958207
- Provider Enumeration Date: 12/29/2020
- Last Update Date: 10/18/2023
Medical Identifiers
Medical identifiers for Lisa Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558958207 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 222Q00000X | Developmental Therapist | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | 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. Lisa 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 |
|---|
Lisa Gordon, LMSW
18649 Garfield,
Redford, MI 48240-1719
Ph: (313) 550-7181 | Lisa Gordon, LMSW
1685 Baldwin Ave,
Pontiac, MI 48340-1242
Ph: (248) 706-3450 |
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