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JACQUELINE SHARON GORDON LCSW
NPI 1073187894
Social Worker - Clinical in Atlanta, GA

Active since May 17, 2021PECOS Enrolled
1870 THE EXCHANGE SE STE 200, ATLANTA, GA 30339(678) 661-1814 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jacqueline Sharon Gordon Lcsw NPPES

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

JACQUELINE SHARON GORDON LCSW (NPI 1073187894) is an individual clinical provider in Atlanta, Georgia, licensed in Georgia (CSW009319) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1073187894
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJACQUELINE SHARON GORDONCredential: LCSW
Location Address1870 THE EXCHANGE SE STE 200Atlanta, GA 30339-2021
Mailing Address1870 The Exchange Se Ste 200Atlanta, GA 30339-2021 · (706) 254-1560
Phone(678) 661-1814
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 17, 2021
Last NPPES UpdateSeptember 29, 2025
NPPES CertifiedSeptember 29, 2025
✔ NPI 1073187894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in GA · CSW009319
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 26891 (MD)
1870 THE EXCHANGE SE STE 200, Atlanta, GA 30339
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Sharon Gordon Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082189980
PECOS Enrollment IDI20260419000008
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jacqueline Gordon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
616 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, District of Columbia and Georgia enrollments
  • 1,424 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30339 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.84 – $172.43
Typical copayment $0.00 (range $14.21 – $43.10)
Most-billed visit code NA
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

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

MASTER IT BEHAVIOR THERAPY OF GEORGIA
Behavior Analyst
1870 THE EXCHANGE SE STE 200
ATLANTA, GA 30339
Cobb County (833) 653-1800
AKIN AYENI MD AND ASSOCIATES INC
Psychiatry & Neurology (Addiction Medicine)
1870 THE EXCHANGE SE STE 200
ATLANTA, GA 30339
Cobb County (770) 829-7442
MS. THEBA SUZETTE HUGGINS LCSW
Social Worker (Clinical)
1870 THE EXCHANGE SE STE 200
ATLANTA, GA 30339
Cobb County (404) 558-3297
DIVINE INCLINATION PSYCHOTHERAPY AND CONSULTING, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1870 THE EXCHANGE SE STE 200
ATLANTA, GA 30339
Cobb County (678) 466-9555
OPEN BOOK COUNSELING, LLC
Social Worker (Clinical)
1870 THE EXCHANGE SE STE 200
ATLANTA, GA 30339
Cobb County (706) 254-1560
MICHELLE LYNN ARSHINKOFF
Nurse Practitioner (Psychiatric/Mental Health)
1870 THE EXCHANGE SE STE 200
ATLANTA, GA 30339
Cobb County (678) 643-2072
COLEMAN MOBILE DPM GA LLC
Clinic/Center (Podiatric)
1870 THE EXCHANGE SE STE 200
ATLANTA, GA 30339
Cobb County (678) 412-1332
NEKETTA BELL BSN, RN
Registered Nurse
1870 THE EXCHANGE SE STE 200
ATLANTA, GA 30339
Cobb County (404) 382-8283

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 Jacqueline Gordon's NPI number?

The NPI number for Jacqueline Gordon is 1073187894. It was assigned to this individual provider in the NPPES registry on May 17, 2021.

Where is Jacqueline Gordon located?

Jacqueline Gordon practices at 1870 The Exchange SE Ste 200, Atlanta, GA 30339. The listed phone number is (678) 661-1814.

What is Jacqueline Gordon's specialty?

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

Is Jacqueline Gordon enrolled in Medicare?

Yes. Jacqueline Gordon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacqueline Gordon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Gordon reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacqueline Gordon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacqueline Gordon was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.