MRS. KAITLYN NICOLE GORDON LCSW-C
NPI 1114576329
Social Worker in Havre De Grace, MD
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
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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).
Medicare Billing Reassignment
Medicare enrollment records show Kaitlyn Gordon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bel Air, MD 21014
- Reassigned Medicare billing, Maryland enrollment
- 122 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
HAVRE DE GRACE, MD 21078
HAVRE DE GRACE, MD 21078
HAVRE DE GRACE, MD 21078
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.
Which organization bills Medicare for Kaitlyn Gordon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kaitlyn Gordon reassigns Medicare benefits to Thrive Behavioral Health, LLC (Bel Air, MD). 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 Kaitlyn 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 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.
# Mrs. Kaitlyn Nicole Gordon, LCSW-C · NPI 1114576329
Social Worker provider in Havre De Grace, Maryland. Individual provider, active in the CMS NPPES registry since September 10, 2019.
## Identity
- **NPI:** 1114576329 (Entity type: Individual)
- **Enumerated:** September 10, 2019
- **Primary specialty:** Social Worker · taxonomy 104100000X
- **State license:** 25407 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 626 REVOLUTION ST, Havre De Grace, MD 21078-3320
- **Phone:** (410) 939-8744
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Thrive Behavioral Health, LLC (NPI 1417723685, Bel Air, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** February 2, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1114576329) · Data from the CMS NPPES public registry.