SHANNON F GORDON LICSW
NPI 1134486426
Social Worker - Clinical in Worcester, MA

Active since April 12, 2012
55 LAKE AVE N, UMASS MEMORIAL MEDICAL CENTER, PSYCHIATRY, WORCESTER, MA 01655(774) 442-2671(774) 442-5303 Get Directions Write a Review

NPPES record last updated: April 12, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shannon F Gordon Licsw NPPES

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

SHANNON F GORDON LICSW (NPI 1134486426) is an individual clinical provider in Worcester, Massachusetts, licensed in Massachusetts (116366) and active in the NPI registry since April 2012.

NPPES Registry Identity

NPI1134486426
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHANNON F GORDONCredential: LICSW
Location Address55 LAKE AVE N, UMASS MEMORIAL MEDICAL CENTER, PSYCHIATRYWorcester, MA 01655-0002
Mailing Address55 Lake Ave N, Umass Memorial Medical Center, PsychiatryWorcester, MA 01655-0002 · (774) 442-2671 · Fax (774) 442-5303
Fax(774) 442-5303
Sole ProprietorNo
Enumeration DateApril 12, 2012
NPI 1134486426 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 MA · 116366
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.
55 LAKE AVE N, Worcester, MA 01655

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.

Emergency Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Nurse Practitioner
55 LAKE AVE N, DEPARTMENT OF RADIOLOGY
WORCESTER, MA 01655
Nurse Anesthetist, Certified Registered
55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655
Physician Assistant
55 LAKE AVE N
WORCESTER, MA 01655
Internal Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Internal Medicine (Hematology & Oncology)
55 LAKE AVE N
WORCESTER, MA 01655
Anesthesiology
55 LAKE AVE N, ANESTHESIOLOGY
WORCESTER, MA 01655
Anesthesiology
55 LAKE AVE N
WORCESTER, MA 01655

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 Shannon Gordon's NPI number?

The NPI number for Shannon Gordon is 1134486426. It was assigned to this individual provider in the NPPES registry on April 12, 2012.

Where is Shannon Gordon located?

Shannon Gordon practices at 55 Lake Ave N Umass Memorial Medical Center, Psychiatry, Worcester, MA 01655. The listed phone number is (774) 442-2671.

What is Shannon Gordon's specialty?

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

When was this NPI record last updated?

The NPPES record for Shannon Gordon was last updated on April 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.