Active NPIIndividual provider

Tanesha Gordon

Social Worker, Clinical in East Longmeadow, Massachusetts

NPI Number1578195764
Practice location
280 N Main St Ste 6, East Longmeadow, MA 01028-1814
Fax
—
Last updated
February 6, 2020

Tanesha Gordon is a Social Worker, Clinical based in East Longmeadow, MA. Tanesha Gordon practices in East Longmeadow, MA. The NPI Number for Tanesha Gordon is 1578195764 and holds a License No. 122331 (MA). The current practice location address for Tanesha Gordon is 280 N Main St Ste 6, East Longmeadow, MA 01028-1814 and can be reached out via phone at 413-486-0163.

Provider Profile Details

NPI Number
1578195764
Provider Name
Tanesha Gordon
Provider Entity Type
Individual
Gender
Female
Address
280 N Main St Ste 6, East Longmeadow, MA 01028-1814
Phone Number
413-486-0163
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
February 6, 2020
Last Update Date
February 6, 2020
Certification Date
February 6, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
280 N Main St Ste 6
East Longmeadow, MA 01028-1814
Zip
01028-1814
Phone Number
413-486-0163
East Longmeadow, MA 01028Get directions →

Provider Business Mailing Address Details

Address
280 N Main St Ste 6
East Longmeadow, MA 01028-1814
City
East Longmeadow
State
MA
Zip
01028-1814
Phone Number
413-486-0163

License Information

License Number
122331
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tanesha Gordon?

The NPI number of Tanesha Gordon is 1578195764. It was assigned on February 6, 2020 and is currently active in the NPPES registry.

What is the specialty of Tanesha Gordon?

Tanesha Gordon is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 122331.

Where does Tanesha Gordon practice?

The practice location is 280 N Main St Ste 6, East Longmeadow, MA 01028-1814. The office can be reached at 413-486-0163 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1578195764 directly on the NPPES registry website.

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