SHAKINA M GORDON (NPI# 1902292766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902292766 |
| Entity Type | Individual |
| Full Name | SHAKINA M GORDON |
| Credential | BA,AS |
| Practice Address |
72 West St Danbury Clinical Services Danbury CT 06810-6531 |
| Mailing Address |
141 E Main St 4th Floor-administration Waterbury CT 06702-2310 |
| Practice Telephone | 2037979778 |
| Practice Fax Number | 2037979858 |
| Mailing Telephone | 2035749000 |
| Mailing Fax Number | 2035749006 |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2015-04-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
72 WEST ST DANBURY CLINICAL SERVICES |
| City | DANBURY |
| State | CT |
| Zip Code | 06810-6531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730681909 | Diana Santos | Community Health Worker | 72 West St, Danbury, CT 06810-6531 | 2018-03-05 |
| 1437513884 | Natalie Marie Wallace | Social Worker | 72 West St, Danbury Clinical Services, Danbury, CT 06810-6531 | 2016-04-12 |
| 1154780153 | Patience T Barimah | Counselor | 72 West St, Danbury Clinical Services, Danbury, CT 06810-6531 | 2016-02-18 |
| 1295100477 | Jason Defreitas | Social Worker | 72 West St, Danbury Clinical Services, Danbury, CT 06810-6531 | 2015-12-14 |
| 1053787465 | Darlene V White | Social Worker | 72 West St, Danbury Clinicial Services, Danbury, CT 06810-6531 | 2015-08-19 |
| 1356724256 | Tanya Cambronero | Case Manager/Care Coordinator | 72 West St, Danbury Clinical Services, Danbury, CT 06810-6531 | 2015-07-09 |
| 1427449149 | Alison Mrowinski | Case Manager/Care Coordinator | 72 West St, Danbury, CT 06810-6531 | 2015-02-17 |
| 1831597376 | Raquel Taveras | Case Manager/Care Coordinator | 72 West St, Danbury, CT 06810-6531 | 2014-12-16 |
| 1164831863 | Diane Rowley | Social Worker | 72 West St, Danbury Clinical Services, Danbury, CT 06810-6531 | 2014-08-06 |
| 1912336843 | Joshua Kishore | Social Worker | 72 West St, Danbury Clinical Services, Danbury, CT 06810-6531 | 2013-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235751017 | Jai Karan Singh | Student in an Organized Health Care Education/Training Program | 120 Main Street, Connecticut Institute of Communities, Danbury, CT 06810 | 2020-05-14 |
| 1497377576 | Jahangir Rouzbehani Selakhor | Student in an Organized Health Care Education/Training Program | 24 Hospital Ave. 06810-6099, Danbury, CT 06810 | 2020-05-12 |
| 1255984043 | Michelle Jean Moore | Nurse Practitioner | 95 Locust Avenue 1st Floor Oncology, Stroock Building, Danbury, CT 06810 | 2019-07-20 |
| 1740748755 | Jose Rafael Rivera | Pharmacist | 305 White St, Danbury, CT 06810 | 2019-03-08 |
| 1013406396 | Aswathi Elsa Mathew | Student in an Organized Health Care Education/Training Program | Greater Danbury Community Health Center, 120 Main St, Danbury, CT 06810 | 2018-05-02 |
| 1073001772 | Manish Kumar Gupta | Student in an Organized Health Care Education/Training Program | Danbury Hospital, 24 Hospital Avenue, Danbury, CT 06810 | 2018-04-27 |
| 1396232005 | Ayushman Rai Sood | Student in an Organized Health Care Education/Training Program | 24 Hospital Avenue, Danbury Hospital, Danbury, CT 06810 | 2018-04-18 |
| 1366953705 | Connecticut Neurodiagnostics, LLC | Clinic/Center | 83 Wooster Heights Rd., Suite 125, Office 145, Danbury, CT 06810 | 2017-10-12 |
| 1528585569 | Xing Zhu | Dentist | 28 Paulding Ter, Danbury, CT 06810 | 2017-08-29 |
| 1851812606 | Julie Susanne Alferi | Dental Hygienist | 70, Main Street, Danbury, CT 06810 | 2017-07-02 |
| Find all providers in zip 06810 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154964948 | Daniel Decastro, Mft LLC | Counselor | 57 North St Ste 115, Danbury, CT 06810-5626 | 2019-10-24 |
| 1427527266 | Icon Health Corp | Counselor | 1 Kennedy Ave Unit 2136, Danbury, CT 06810-5995 | 2018-11-23 |
| 1588162606 | Sabrina Alexandra Donalies | Counselor | 41 Mayfair Sq, Danbury, CT 06810-5251 | 2018-01-23 |
| 1164768602 | Scott Michael Trefny | Counselor | 8 Cel Bret Dr, Danbury, CT 06810-7215 | 2013-01-02 |
| 1619241494 | Rafaela Dasilva Moraes | Counselor | 1 Hobson St, Danbury, CT 06810-6431 | 2012-02-27 |
| 1780956920 | Jennifer Cohen | Counselor | 36 Mill Plain Rd Ste 312, Danbury, CT 06811-5114 | 2012-02-03 |
| 1588897466 | Jennifer Ann Miroslaw | Counselor | 7145 Fremsted Rd, Danbury, WI 54830-8764 | 2009-08-26 |
| 1780869156 | Claudette Ames | Counselor | 72 North St Ste 201, Danbury, CT 06810-5653 | 2008-01-04 |
| 1093910861 | John Campbell Hines | Counselor | 1570 Nc 8 & 89 Hwy N, Danbury, NC 27016 | 2007-06-20 |
| 1528277548 | Ruth Buckley-maderski | Counselor | 57 North St Ste 419, Family Study Center, Danbury, CT 06810-5629 | 2007-05-22 |
| Find all providers in DANBURY | ||||
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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.