MRS. CAROL EVELYN GORDON (NPI# 1518982362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518982362 |
Entity Type | Individual |
Full Name | MRS. CAROL EVELYN GORDON |
Credential | LCSW |
Practice Address |
9443 Drake Ave Evanston IL 60203-1105 |
Practice Telephone | 8476779187 |
Practice Fax Number | 8476779176 |
Mailing Telephone | 8476779187 |
Mailing Fax Number | 8476779176 |
Enumeration Date | 2006-07-13 |
Last Update Date | 2008-07-25 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
149001473 | IL | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | RAILROAD MEDICARE | 800006567 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902026743 | Carol Gordon | Social Worker | 2060 Montview Ln, Steamboat Springs, CO 80487-9090 | 2007-04-26 |
1801116355 | Carol Gordon | Social Worker | 505 S Dewey St, Suite 208, Eau Claire, WI 54701-3704 | 2010-06-07 |
1295867489 | Carol M Gordon | Physical Therapist | 143 Bernice Dr, Bensenville, IL 60106-3366 | 2007-03-12 |
1366581738 | Carol Gordon | Physical Therapist | 1 Northwestern Dr, Suite101, Bloomfield, CT 06002-3400 | 2007-02-05 |
1346387818 | Carol Evelyn Gordon | Registered Nurse | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2007-01-31 |
1184632457 | Carol Ellen Gordon | Psychologist | 125 S Wilke Rd, Suite 200g, Arlington Heights, IL 60005-1534 | 2006-08-03 |
1235195926 | Carol D Gordon | Ophthalmology | 4 Burke Ln, Syosset, NY 11791-3931 | 2006-04-22 |
1134111966 | Carol E Gordon | Optometrist | 1156 Boston Post Rd, Old Saybrook, CT 06475-4405 | 2005-08-18 |
Street Address |
9443 DRAKE AVE |
City | EVANSTON |
State | IL |
Zip Code | 60203-1105 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609026210 | Catherine Gluck | Physical Therapist | 8827 Central Park Ave, Evanston, IL 60203 | 2008-09-19 |
1750597399 | Christian F Wong | Pharmacist | 9306 N Bennett Ave., Evanston, IL 60203 | 2007-05-14 |
1811093156 | Michael Horowitz | Psychologist | 9231 Springfield Avenue, Evanston, IL 60203 | 2006-09-15 |
1962809418 | Donna Stanton | Registered Nurse | 9514 Lawndale Ave, Evanston, IL 60203-1007 | 2014-11-28 |
1548486731 | Judith B Schechtman | Social Worker | 9509 Crawford Ave, Evanston, IL 60203-1012 | 2007-04-17 |
1558587642 | Psyche Net Inc | Social Worker | 9509 Crawford Ave, Evanston, IL 60203-1012 | 2007-04-17 |
1881723856 | Cynthia Franklin | Pharmacist | 9521 Harding Ave, Evanston, IL 60203-1019 | 2007-03-05 |
1114221660 | Megan Haughey | Behavioral Analyst | 9440 Drake Ave, Evanston, IL 60203-1106 | 2010-12-26 |
1326263740 | Richard D Chessick | Psychiatry & Neurology | 9400 Drake Ave, Evanston, IL 60203-1106 | 2007-04-13 |
1578790184 | Richard D. Chessick, M.d., Ph.d.,p.c. | Psychiatry & Neurology | 9400 Drake Ave, Evanston, IL 60203-1106 | 2009-06-22 |
Find all providers in zip 60203 |
Taxonomy Code | 1041C0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Social Worker |
Specialization | Clinical |
A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588276406 | Meredith S Alger | Social Worker | 1815 Seward St, Evanston, IL 60202-1905 | 2020-08-21 |
1568090678 | Ashley Ice | Social Worker | 200 Ridge Ave Apt 1c, Evanston, IL 60202-3855 | 2020-04-01 |
1801420971 | Solidarity Therapy Services LLC | Social Worker | 733 Dobson St Apt 2s, Evanston, IL 60202-3977 | 2020-02-27 |
1649804188 | Singlepoint Psychotherapy | Social Worker | 1234 Sherman Ave Ste 109, Evanston, IL 60202-1375 | 2020-02-24 |
1215571658 | Wendy Kopald | Social Worker | 1740 Ridge Ave Ste 200-c, Evanston, IL 60201-5918 | 2019-10-29 |
1477104396 | Eleanor Pierson | Social Worker | 1865 Sherman Ave, Evanston, IL 60201-3714 | 2019-09-23 |
1043860125 | Adrienne Groff | Social Worker | 2309 Forestview Rd, Evanston, IL 60201-2011 | 2019-09-19 |
1992351712 | Christine Sofia Leone | Social Worker | 235 Custer Ave Apt 2s, Evanston, IL 60202-3597 | 2019-08-16 |
1780237669 | Suzanne Nicole Hawley | Social Worker | 1617 South Blvd, Evanston, IL 60202-2745 | 2019-07-19 |
1124587449 | Julie Noparstak | Social Worker | 990 Grove St Ste 401, Evanston, IL 60201-4370 | 2019-03-16 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.