Shannon Suzette Gordon, is a
Social Worker - Clinical based in Shelby, North Carolina. Shannon Suzette Gordon is licensed to practice in North Carolina (license number P018665) and her current practice location is
213 Patton Dr Ste B, Shelby, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(980) 465-2533.
NPI number for Shannon Suzette Gordon is 1558067637 and her current mailing address is Po Box 1084, Shelby, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558067637.
Healthcare Provider's Profile
Full Name | Shannon Suzette Gordon |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 213 Patton Dr Ste B, Shelby, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1558067637
- Provider Enumeration Date: 02/01/2023
- Last Update Date: 02/01/2023
Medical Identifiers
Medical identifiers for Shannon Suzette Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558067637 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | P018665 (North Carolina) | Secondary |
101YM0800X | Counselor - Mental Health | P018665 (North Carolina) | Secondary |
101YP2500X | Counselor - Professional | P018665 (North Carolina) | Secondary |
1041C0700X | Social Worker - Clinical | P018665 (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | P018665 (North Carolina) | 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. Shannon Suzette 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 |
Shannon Suzette Gordon, Po Box 1084, Shelby, NC 28151-1084 Ph: (980) 318-6915 | Shannon Suzette Gordon, 213 Patton Dr Ste B, Shelby, NC 28150-4696 Ph: (980) 465-2533 |
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