CAROL ANN GORDON-SHIRLEY LICDC-CS NPI 1841774676

NPI Information

NPI: 1841774676
Provider Name: CAROL ANN GORDON-SHIRLEY, LICDC-CS
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
5122 GLENCROSSING WAY
CINCINNATI, OH
ZIP 45238
Phone: (513) 827-9044
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Carol Ann Gordon-shirley, LICDC-CS is an addiction (substance use disorder) counselor in Cincinnati, OH. Carol Ann Gordon-shirley, LICDC-CS NPI is 1841774676. 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:

5122 GLENCROSSING WAY
CINCINNATI, OH
ZIP 45238-361
Phone: (513) 827-9044
Fax: (513) 832-1332

The enumeration date for this NPI number is 9/18/2018 and was last updated on 9/18/2018.

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	104100000X	Social Worker		S.1700610	OHIO	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LICDC.161496	OHIO	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: 4/28/2024

NPI Synchronization or Removal

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