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Contact Information

JENNIFER I GORDON, MSW
156 MAIN ST
MONTPELIER, VT05602-2702
 Phone: 802-223-4738
 Fax: 802-223-6067
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for JENNIFER I GORDON · (Female)

NPI Number 1013097161
Status Active
Credentials MSW (Master of Science in Social Work)
Entity Individual
Enumeration date 10/16/2006
Last updated 12/09/2013 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • VT License # 089-0000857
  • VT Medicaid 1008603
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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