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MRS. KAITLYN NICOLE GORDON LCSW-C
NPI 1114576329
Social Worker in Havre De Grace, MD

Active since September 10, 2019PECOS Enrolled
626 REVOLUTION ST, HAVRE DE GRACE, MD 21078(410) 939-8744 Get Directions Write a Review

NPPES record last updated: February 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 2, 2023, Sep 10, 2019 (2 updates tracked since 2019).

About Mrs. Kaitlyn Nicole Gordon Lcsw-c NPPES

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

MRS. KAITLYN NICOLE GORDON LCSW-C (NPI 1114576329) is an individual social worker in Havre De Grace, Maryland, licensed in Maryland (25407) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1114576329
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMRS. KAITLYN NICOLE GORDONCredential: LCSW-C
Location Address626 REVOLUTION STHavre De Grace, MD 21078-3320
Mailing Address626 Revolution StHavre De Grace, MD 21078-3320 · (443) 945-5420
Phone(410) 939-8744
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 10, 2019
Last NPPES UpdateFebruary 2, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2023
✔ NPI 1114576329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in MD · 25407
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
626 REVOLUTION ST, Havre De Grace, MD 21078
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Other Names 1

Former Name (1)Ms. Kaitlyn Nicole Latham Lcsw-c

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kaitlyn Nicole Gordon Lcsw-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264917913
PECOS Enrollment IDI20260331000806
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.

Other Providers at the Same Location NPPES 20

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

UPPER BAY COUNSELING & SUPPORT SERVICES, INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
626 REVOLUTION ST
HAVRE DE GRACE, MD 21078
Harford County (410) 939-8744
LORI ANNE PASSERINI LCSW-C
Social Worker (Clinical)
626 REVOLUTION ST
HAVRE DE GRACE, MD 21078
Harford County (410) 939-8744
MS. ELIZABETH CLAIRE PTAK LCPC
Counselor (Mental Health)
626 REVOLUTION ST
HAVRE DE GRACE, MD 21078
Harford County (410) 939-8744
LAUREN C ROSENBERGER LCSW-C
Social Worker
626 REVOLUTION ST
HAVRE DE GRACE, MD 21078
Harford County (410) 939-8744
UPPER BAY COUNSELING AND SUPPORT SERVICES, INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
626 REVOLUTION ST
HAVRE DE GRACE, MD 21078
Harford County (410) 939-8744
KELLY BRAGG LCPC
Counselor (Professional)
626 REVOLUTION ST
HAVRE DE GRACE, MD 21078
Harford County (410) 939-8744
UPPER BAY COUNSELING AND SUPPORT SERVICES, INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
626 REVOLUTION ST
HAVRE DE GRACE, MD 21078
Harford County (410) 939-8744
VERA ALICE DE TOLEDO-POWELL
Counselor (Mental Health)
626 REVOLUTION ST
HAVRE DE GRACE, MD 21078
Harford County (410) 939-8744

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 Kaitlyn Gordon's NPI number?

The NPI number for Kaitlyn Gordon is 1114576329. It was assigned to this individual provider in the NPPES registry on September 10, 2019. The provider is also known as Ms. Kaitlyn Nicole Latham Lcsw-C.

Where is Kaitlyn Gordon located?

Kaitlyn Gordon practices at 626 Revolution St, Havre De Grace, MD 21078. The listed phone number is (410) 939-8744.

What is Kaitlyn Gordon's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Kaitlyn Gordon enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kaitlyn Gordon was last updated on February 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.