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JESSICA R GORDON LSW
NPI 1265926125
Social Worker - Clinical in Mentor, OH

Active since June 14, 2018PECOS Enrolled
7232 JUSTIN WAY, MENTOR, OH 44060(440) 578-8200 Get Directions Write a Review

NPPES record last updated: August 22, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 22, 2022, May 23, 2022, Aug 23, 2021 and 2 more (5 updates tracked since 2018).

About Jessica R Gordon Lsw NPPES

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

JESSICA R GORDON LSW (NPI 1265926125) is an individual clinical provider in Mentor, Ohio, licensed in Ohio (S.2207587) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265926125
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJESSICA R GORDONCredential: LSW
Location Address7232 JUSTIN WAYMentor, OH 44060-4881
Mailing Address7232 Justin WayMentor, OH 44060-4881 · (440) 578-8200
Phone(440) 578-8200
Sole ProprietorYes
Enumeration DateJune 14, 2018
Last NPPES UpdateAugust 22, 20225 updates tracked since enumeration
NPPES CertifiedAugust 22, 2022
✔ NPI 1265926125 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
Licenses✔ Licensed in OH · S.2207587✔ Licensed in OH · S.2101975-TRNE
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 ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License S.2101975-TRNE (OH)
7232 JUSTIN WAY, Mentor, OH 44060
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Other Identifiers 1

Medicaid0293452OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica R Gordon Lsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Jessica Gordon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Signature Health, Inc
2.6 mi
Mental Health (Including Community Mental Health Center)
38876 MENTOR AVE
Willoughby, OH 44094
  • Reassigned Medicare billing, Ohio enrollment
  • 342 clinicians in this Medicare group
NPI 1477575348 (440) 953-9999

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 44060 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 $54.34 – $166.65
Typical copayment $0.00 (range $13.58 – $41.66)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 20

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

DR. TIFFANY JONES M.D.
Psychiatry & Neurology (Psychiatry)
7232 JUSTIN WAY
MENTOR, OH 44060
Lake County (440) 578-8200
ASHLEY NICHOLE FOCHT
Counselor
7232 JUSTIN WAY
MENTOR, OH 44060
Lake County (440) 578-8200
MRS. FATIMAAH D FULLILOVE LSW, LICDC
Social Worker (Clinical)
7232 JUSTIN WAY
MENTOR, OH 44060
Lake County (440) 578-8200
THERESA GILL LPCC
Counselor
7232 JUSTIN WAY
MENTOR, OH 44060
Lake County (440) 578-8200
JAMIE GAMBRELL
Counselor
7232 JUSTIN WAY
MENTOR, OH 44060
Lake County (440) 578-8200
CLOTILDA J RAYMOND
Social Worker
7232 JUSTIN WAY
MENTOR, OH 44060
Lake County (440) 578-8200
BRENDA BERRY SAMPLE
Case Manager/Care Coordinator
7232 JUSTIN WAY
MENTOR, OH 44060
Lake County (440) 578-8200
KIMBERLEE BIZUP LPCC-S
Counselor
7232 JUSTIN WAY
MENTOR, OH 44060
Lake County (440) 578-8200

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 Jessica Gordon's NPI number?

The NPI number for Jessica Gordon is 1265926125. It was assigned to this individual provider in the NPPES registry on June 14, 2018.

Where is Jessica Gordon located?

Jessica Gordon practices at 7232 Justin Way, Mentor, OH 44060. The listed phone number is (440) 578-8200.

What is Jessica Gordon's specialty?

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

Is Jessica Gordon enrolled in Medicare?

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

Which organization bills Medicare for Jessica Gordon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Gordon reassigns Medicare benefits to Signature Health, Inc (Willoughby, OH). 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 Jessica Gordon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Gordon accept?

Health plans from CareSource list Jessica Gordon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jessica Gordon was last updated on August 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.