Active NPIIndividual provider

Ms. Beth Gordon, LICSW

Social Worker, School in Southampton, Massachusetts

NPI Number1831673383
Practice location
34 Pomeroy Meadow RD, Southampton, MA 01073-9664
Fax
413-527-4795
Last updated
September 20, 2018

Beth Gordon is a Social Worker, School based in Southampton, MA. Beth Gordon practices in Southampton, MA and has the professional credentials of LICSW. The NPI Number for Beth Gordon is 1831673383 and holds a License No. 1019518 (MA). The current practice location address for Beth Gordon is 34 Pomeroy Meadow RD, Southampton, MA 01073-9664 and can be reached out via phone at 413-527-0811 and via fax at 413-527-4795.

Provider Profile Details

NPI Number
1831673383
Provider Name
Beth Gordon
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
34 Pomeroy Meadow RD, Southampton, MA 01073-9664
Phone Number
413-527-0811
Fax Number
413-527-4795
Primary Taxonomy
Social Worker, School · 1041S0200X
Sole Proprietor
No
Provider Enumeration Date
September 20, 2018
Last Update Date
September 20, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
34 Pomeroy Meadow RD
Southampton, MA 01073-9664
Zip
01073-9664
Phone Number
413-527-0811
Fax Number
413-527-4795
Southampton, MA 01073Get directions →

Provider Business Mailing Address Details

Address
808 Burts Pit RD
Florence, MA 01062-3621
City
Florence
State
MA
Zip
01062-3621
Phone Number
413-297-6562

License Information

License Number
1019518
License State
MA
Taxonomy
Social Worker, School · 1041S0200X · 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 Ms. Beth Gordon, LICSW?

The NPI number of Ms. Beth Gordon, LICSW is 1831673383. It was assigned on September 20, 2018 and is currently active in the NPPES registry.

What is the specialty of Ms. Beth Gordon, LICSW?

Ms. Beth Gordon, LICSW is registered under the primary taxonomy Social Worker, School (code 1041S0200X), licensed in MA under license number 1019518.

Where does Ms. Beth Gordon, LICSW practice?

The practice location is 34 Pomeroy Meadow RD, Southampton, MA 01073-9664. The office can be reached at 413-527-0811 (phone) or 413-527-4795 (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 1831673383 directly on the NPPES registry website.

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