MALYCIA JARRETT GORDON NPI 1497539415

NPI Information

NPI: 1497539415
Provider Name: MALYCIA JARRETT GORDON
Classification: Social Worker - 104100000X
Entity Type: Individual
Address:
118 FIFTY ACRE RD S
SMITHTOWN, NY
ZIP 11787
Phone: (347) 228-2789
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Malycia Jarrett Gordon is a social worker in Smithtown, NY. 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. Malycia Jarrett Gordon NPI is 1497539415. 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:

118 FIFTY ACRE RD S
SMITHTOWN, NY
ZIP 11787-035
Phone: (347) 228-2789

The enumeration date for this NPI number is 8/21/2023 and was last updated on 8/24/2023.

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	1041C0700X	Social Worker	Clinical	107708	NEW YORK	No
2	104100000X	Social Worker				Yes

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

NPI Synchronization or Removal

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