MRS. JILL SHANNON GORDY-MOODY LCSW
NPI 1295778389
Social Worker - Clinical in San Diego, CA

Active since June 14, 2006
3350 LA JOLLA VILLAGE DR, SAN DIEGO, CA 92161(858) 552-8585 Get Directions Write a Review

NPPES record last updated: August 29, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Jill Shannon Gordy-moody Lcsw NPPES

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

MRS. JILL SHANNON GORDY-MOODY LCSW (NPI 1295778389) is an individual clinical provider in San Diego, California, licensed in Virginia (0904005864) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1295778389
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. JILL SHANNON GORDY-MOODYCredential: LCSW
Location Address3350 LA JOLLA VILLAGE DRSan Diego, CA 92161-0002
Mailing Address154 Diana StEncinitas, CA 92024-1401 · (760) 889-8933
Sole ProprietorNo
Enumeration DateJune 14, 2006
Last NPPES UpdateAugust 29, 2013
NPI 1295778389 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 VA · 0904005864
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.
3350 LA JOLLA VILLAGE DR, San Diego, CA 92161

Other Names 1

Former Name (1)Ms. Jill Shannon Gordy Lcsw

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.

Internal Medicine (Geriatric Medicine)
3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92161
Physical Therapist
3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92161
Psychiatry & Neurology (Psychiatry)
3350 LA JOLLA VILLAGE DR, 116-A
SAN DIEGO, CA 92161
Psychologist (Clinical)
3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92161
Pharmacist (Psychiatric)
3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92161
Pharmacist (Psychiatric)
3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92161
Physical Therapist
3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92161
Nurse Practitioner (Family)
3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92161

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 Jill Gordy-moody's NPI number?

The NPI number for Jill Gordy-moody is 1295778389. It was assigned to this individual provider in the NPPES registry on June 14, 2006. The provider is also known as Ms. Jill Shannon Gordy Lcsw.

Where is Jill Gordy-moody located?

Jill Gordy-moody practices at 3350 La Jolla Village Dr, San Diego, CA 92161. The listed phone number is (858) 552-8585.

What is Jill Gordy-moody'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 Jill Gordy-moody was last updated on August 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.