Active NPIIndividual provider

Monique G Gordon, LCSW

Social Worker, Clinical in Sidney, Maine

NPI Number1821380015
Practice location
3895 W River RD, Sidney, ME 04330-2434
Fax
207-547-4686
Last updated
August 18, 2015

Monique G Gordon is a Social Worker, Clinical based in Sidney, ME. Monique G Gordon practices in Sidney, ME and has the professional credentials of LCSW. The NPI Number for Monique G Gordon is 1821380015 and holds a License No. LC13588 (ME). The current practice location address for Monique G Gordon is 3895 W River RD, Sidney, ME 04330-2434 and can be reached out via phone at 207-547-4464 and via fax at 207-547-4686.

Provider Profile Details

NPI Number
1821380015
Provider Name
Monique G Gordon
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
3895 W River RD, Sidney, ME 04330-2434
Phone Number
207-547-4464
Fax Number
207-547-4686
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
May 6, 2011
Last Update Date
August 18, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
3895 W River RD
Sidney, ME 04330-2434
City
Sidney
State
Maine
Zip
04330-2434
Phone Number
207-547-4464
Fax Number
207-547-4686
Sidney, ME 04330Get directions →

Provider Business Mailing Address Details

Address
Po Box 1805
Bangor, ME 04402-1805
City
Bangor
State
ME
Zip
04402-1805
Phone Number
207-631-4403

License Information

License Number (1)
LC13588
License State (1)
ME
Taxonomy (1)
Social Worker, Clinical · 1041C0700X · Primary
License Number (2)
MC12638
License State (2)
ME
Taxonomy (2)
Social Worker, Clinical · 1041C0700X

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 Monique G Gordon, LCSW?

The NPI number of Monique G Gordon, LCSW is 1821380015. It was assigned on May 6, 2011 and is currently active in the NPPES registry.

What is the specialty of Monique G Gordon, LCSW?

Monique G Gordon, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in ME under license number LC13588.

Where does Monique G Gordon, LCSW practice?

The practice location is 3895 W River RD, Sidney, ME 04330-2434. The office can be reached at 207-547-4464 (phone) or 207-547-4686 (fax).

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 1821380015 directly on the NPPES registry website.

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