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BERRIEN MARIE CROWELL GORDON LCSW NPI 1356406813


NPI Information

NPI: 1356406813
Provider Name: BERRIEN MARIE CROWELL GORDON, LCSW
Classification: Social Worker - 104100000X
Entity Type: Individual
Address:
2366 SAINT GEORGE AVE
RAHWAY, NJ
ZIP 07065
Phone: (732) 381-5700
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Berrien Marie Crowell Gordon, LCSW is a social worker in Rahway, NJ. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. Berrien Marie Crowell Gordon, LCSW NPI is 1356406813. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2366 SAINT GEORGE AVE
RAHWAY, NJ
ZIP 07065
Phone: (732) 381-5700
Fax: (732) 381-5827

The enumeration date for this NPI number is 12/26/2006 and was last updated on 7/8/2007.


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
1104100000XSocial Worker44SC00182300NEW JERSEYYes

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
1063087TJKMEDICARE ID-TYPE UNSPECIFIEDNEW JERSEY

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.