MR. ALDIN LESLIE GORDON LCPC NPI 1215103544

NPI Information

NPI: 1215103544
Provider Name: MR. ALDIN LESLIE GORDON, LCPC
Classification: Clinic/Center - 261QM0801X
Entity Type: Individual

Specialization: Mental Health (Including Community Mental Health Center)

PECOS Registration: Yes

Address:
1407 LOCHNER RD
BALTIMORE, MD
ZIP 21239
Phone: (443) 475-0338
Get Directions

MR. Aldin Leslie Gordon, LCPC is a mental health (including community mental health center) clinic center in Baltimore, MD. MR. Aldin Leslie Gordon, LCPC NPI is 1215103544. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1407 LOCHNER RD
BALTIMORE, MD
ZIP 21239-932
Phone: (443) 475-0338
Fax: (410) 878-0382

The NPI 1215103544 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 5/6/2008 and was last updated on 9/14/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	LC4829	MARYLAND	No
2	101YP2500X	Counselor	Professional	LC4829	MARYLAND	No
3	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	LC4829	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	086022100	MEDICAID	MARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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