MS. SUSAN RIDDLE GORDON LCSW
NPI 1285678359
Social Worker - Clinical in Tifton, GA

Active since June 16, 2006
2402 TIFT AVE N, SUITE 102, TIFTON, GA 31794(229) 392-6600(229) 382-2181 Get Directions Write a Review

NPPES record last updated: December 2, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Susan Riddle Gordon Lcsw NPPES

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

MS. SUSAN RIDDLE GORDON LCSW (NPI 1285678359) is an individual clinical provider in Tifton, Georgia, licensed in Georgia (CSW003185) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1285678359
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. SUSAN RIDDLE GORDONCredential: LCSW
Location Address2402 TIFT AVE N, SUITE 102Tifton, GA 31794-1883
Mailing Address2402 Tift Ave N, Suite 102Tifton, GA 31794-1883 · (229) 392-6600 · Fax (229) 382-2181
Fax(229) 382-2181
Sole ProprietorNo
Enumeration DateJune 16, 2006
Last NPPES UpdateDecember 2, 2008
NPI 1285678359 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 GA · CSW003185
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.
2402 TIFT AVE N, Tifton, GA 31794

Other Identifiers 5

Medicaid486449509AGA
Medicaid486449509BGA
Medicaid486449509CGA
Medicare ID-Type Unspecified80BBFQNGA · Medicare
Medicaid486449509DGA

Other Providers at the Same Location NPPES 3

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

Counselor (Addiction (Substance Use Disorder))
2402 TIFT AVE N
TIFTON, GA 31794
Nurse Practitioner (Psychiatric/Mental Health)
2402 TIFT AVE N
TIFTON, GA 31794
Clinic/Center (Rehabilitation, Substance Use Disorder)
2402 TIFT AVE N, SUITE 202
TIFTON, GA 31794

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 Susan Gordon's NPI number?

The NPI number for Susan Gordon is 1285678359. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Where is Susan Gordon located?

Susan Gordon practices at 2402 Tift Ave N Suite 102, Tifton, GA 31794. The listed phone number is (229) 392-6600.

What is Susan 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 Susan Gordon was last updated on December 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.