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Contact Information

LISA G GORDON, LCSW
6800 BACKLICK RD
SUITE #202
SPRINGFIELD, VA22150-3070
 Phone: 703-921-0692
 Fax: 703-921-0637
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for LISA G GORDON · (Female)

NPI # 1780732107
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 01/08/2007
Last updated 06/01/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • VA License # 0904003348
  • Other 282455 AETNA
  • Other 268559 ALLIANCE
  • Other 182922 ANTHEM HEALTHKEEPERS
  • Other 4294 BCBS
  • Other 2037724 CIGNA
  • Other 1550330001 GREAT WEST HEALTHCARE
  • Other 126464 HEALTHNET FEDERAL SERVICE
  • Other IP282455 MAGELLAN BEHAVIORAL HEALT
  • Other 268559 MAMSI
  • Other 268559 MDIPA
  • Other 323386 MHN
  • Other 268559 OPTIMUM CHOICE
  • Other 104300 UNITED HEALTH CARE
  • Other 126464 VALUE OPTIONS
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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