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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: August 02, 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, and ordering and referring status from the CMS PECOS system.

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.

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 17

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
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
GEORGIA TRUE CARE LLC
Case Management
1870 THE EXCHANGE SE STE 200
ATLANTA, GA 30339
Cobb County (951) 533-0401
NADIA CAROLE MOREAU RN
Clinical Medical Laboratory
1870 THE EXCHANGE SE STE 200
ATLANTA, GA 30339
Cobb County (470) 231-9505

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.

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 10 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.