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SHIOBAN NATASSIA GORDON LCSW
NPI 1063150795
Social Worker - Clinical in Newington, CT

Active since May 23, 2022
1268 MAIN ST STE 204, NEWINGTON, CT 06111(860) 785-6222 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shioban Natassia Gordon Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHIOBAN NATASSIA GORDON LCSW (NPI 1063150795) is an individual clinical provider in Newington, Connecticut, licensed in Connecticut (012122) and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1063150795
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHIOBAN NATASSIA GORDONCredential: LCSW
Location Address1268 MAIN ST STE 204Newington, CT 06111-3043
Mailing Address1268 Main St Ste 204Newington, CT 06111-3043 · (860) 785-6222 · Fax (860) 838-6777
Phone(860) 785-6222
Sole ProprietorNo
Enumeration DateMay 23, 2022
Last NPPES UpdateOctober 30, 2025
NPPES CertifiedOctober 30, 2025
✔ NPI 1063150795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CT · 012122
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1268 MAIN ST STE 204, Newington, CT 06111
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KARLI ANDREWS CCC-SLP
Speech-Language Pathologist
1268 MAIN ST STE 204
NEWINGTON, CT 06111
Capitol Planning Region (860) 200-7450
ANNA BERTOLDO LMFT
Marriage & Family Therapist
1268 MAIN ST STE 204
NEWINGTON, CT 06111
Capitol Planning Region (860) 348-5574
KATHLEEN DAVIS MS
Counselor (Professional)
1268 MAIN ST STE 204
NEWINGTON, CT 06111
Capitol Planning Region (860) 785-6222
ELIZABETH JENSEN LCSW
Social Worker (Clinical)
1268 MAIN ST STE 204
NEWINGTON, CT 06111
Capitol Planning Region (860) 785-6222
CARLTON JONES
Counselor (Professional)
1268 MAIN ST STE 204
NEWINGTON, CT 06111
Capitol Planning Region (860) 785-6222
MRS. JENNIFER LYN SAKOWICZ M.S., CCC-SLP
Speech-Language Pathologist
1268 MAIN ST STE 204
NEWINGTON, CT 06111
Capitol Planning Region (860) 216-1100
DAJHA SCOTT LPC
Counselor (Professional)
1268 MAIN ST STE 204
NEWINGTON, CT 06111
Capitol Planning Region (860) 680-2168

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shioban Gordon's NPI number?

The NPI number for Shioban Gordon is 1063150795. It was assigned to this individual provider in the NPPES registry on May 23, 2022.

Where is Shioban Gordon located?

Shioban Gordon practices at 1268 Main St Ste 204, Newington, CT 06111. The listed phone number is (860) 785-6222.

What is Shioban Gordon's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

What insurance does Shioban Gordon accept?

Health plans from Providence Health Plan list Shioban Gordon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shioban Gordon was last updated on October 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.