Emily Gordon LCSW-C - Clinical Social Worker in Baltimore, Maryland | ProviderWire

Full Name

Emily Gordon LCSW-C

NPI Number

1013442615

NPI Type

Individual Provider

Gender

Female

Enumeration Date

04/21/2017

Specialties

(Taxonomies)

Name

Clinical Social Worker

Code

1041C0700X

Primary Taxonomy

Yes

Licenses

State

Maryland

License Number

20997

Contact
Information

Purpose

Mailing

Location

Address

703 REGESTER AVE

703 REGESTER AVE

City

Baltimore

Baltimore

State

MD

MD

Postal Code

21212-1919

21212-1919

Country

US

US

Telephone Number

(443) 632-8426

(443) 632-8426

Identifiers

Identifier

887155800

Identifier State

MD

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/30/2022

Provider Address

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