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ALICIA GORDON LCSW
NPI 1285149955
Clinic/Center - Developmental Disabilities in Fitzgerald, GA

Active since December 04, 2017
132 CAROL CIR, FITZGERALD, GA 31750(561) 252-7261 Get Directions Write a Review

NPPES record last updated: November 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 9, 2020, Jul 4, 2020, Jan 11, 2018 and 1 more (4 updates tracked since 2017).

About Alicia Gordon Lcsw NPPES

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

ALICIA GORDON LCSW (NPI 1285149955) is an individual developmental disabilities provider in Fitzgerald, Georgia and active in the NPI registry since December 2017. She maintains a secondary practice location in Haverhill.

NPPES Registry Identity

NPI1285149955
Entity TypeIndividualFemale
Primary Taxonomy261QD1600X
Provider Legal NameALICIA GORDONCredential: LCSW
Location Address132 CAROL CIRFitzgerald, GA 31750-8128
Mailing Address5464 Club CirHaverhill, FL 33415-1262 · (561) 252-7261
Phone(561) 252-7261
Sole ProprietorYes
Enumeration DateDecember 4, 2017
Last NPPES UpdateNovember 9, 20204 updates tracked since enumeration
NPPES CertifiedNovember 9, 2020
✔ NPI 1285149955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities
Taxonomy Code261QD1600X
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
132 CAROL CIR, Fitzgerald, GA 31750
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Secondary Practice Location 1

Location 15464 Club CirHaverhill, FL 33415-1262 · Phone (561) 252-7261 · Fax (561) 252-7261

Other Providers at the Same Location NPPES

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

AG COUNSELING
Case Management
132 CAROL CIR
FITZGERALD, GA 31750
Ben Hill County (561) 252-7261

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 Alicia Gordon's NPI number?

The NPI number for Alicia Gordon is 1285149955. It was assigned to this individual provider in the NPPES registry on December 4, 2017.

Where is Alicia Gordon located?

Alicia Gordon practices at 132 Carol Cir, Fitzgerald, GA 31750. The listed phone number is (561) 252-7261.

What is Alicia Gordon's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

When was this NPI record last updated?

The NPPES record for Alicia Gordon was last updated on November 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.