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ELIZABETH AVA GORDON ASW
NPI 1366968745
Social Worker - Clinical in Berkeley, CA

Active since August 17, 2017PECOS Enrolled
2150 SHATTUCK AVE STE 725, BERKELEY, CA 94704(855) 501-1004 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 19, 2026, Apr 8, 2026, Dec 4, 2023 and 2 more (5 updates tracked since 2017).

About Elizabeth Ava Gordon Asw NPPES

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

ELIZABETH AVA GORDON ASW (NPI 1366968745) is an individual clinical provider in Berkeley, California, licensed in California (132823) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1366968745
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameELIZABETH AVA GORDONCredential: ASW
Location Address2150 SHATTUCK AVE STE 725Berkeley, CA 94704-1364
Mailing Address3835 N Freeway Blvd Ste 100Sacramento, CA 95834-1954
Phone(855) 501-1004
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 17, 2017
Last NPPES UpdateMay 19, 20265 updates tracked since enumeration
NPPES CertifiedMay 19, 2026
✔ NPI 1366968745 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 CA · 132823
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.
2150 SHATTUCK AVE STE 725, Berkeley, CA 94704
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth Ava Gordon Asw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234625153
PECOS Enrollment IDI20251230003763
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94704 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 $69.00 – $202.35
Typical copayment $0.00 (range $17.25 – $50.58)
Most-billed visit code NA
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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 7

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

KRISTEN FRANCES NELSON FNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
2150 SHATTUCK AVE STE 725
BERKELEY, CA 94704
Alameda County (510) 899-6220
BROOKE BROWNLEE
Counselor (Professional)
2150 SHATTUCK AVE STE 725
BERKELEY, CA 94704
Alameda County (855) 501-1004
TYLER EUGENE GOULET
Counselor (Professional)
2150 SHATTUCK AVE STE 725
BERKELEY, CA 94704
Alameda County (855) 501-1004
SARA PAREDES
Nurse Practitioner (Psychiatric/Mental Health)
2150 SHATTUCK AVE STE 725
BERKELEY, CA 94704
Alameda County (855) 501-1004
SARA AU LPCC
Counselor (Professional)
2150 SHATTUCK AVE STE 725
BERKELEY, CA 94704
Alameda County (855) 501-1004
LAURA THERESA HERNANDEZ LMFT
Marriage & Family Therapist
2150 SHATTUCK AVE STE 725
BERKELEY, CA 94704
Alameda County (855) 501-1004
SUSANNE CONGRESS LMSW
Social Worker (Clinical)
2150 SHATTUCK AVE STE 725
BERKELEY, CA 94704
Alameda County (510) 340-4202

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 Elizabeth Gordon's NPI number?

The NPI number for Elizabeth Gordon is 1366968745. It was assigned to this individual provider in the NPPES registry on August 17, 2017.

Where is Elizabeth Gordon located?

Elizabeth Gordon practices at 2150 Shattuck Ave Ste 725, Berkeley, CA 94704. The listed phone number is (855) 501-1004.

What is Elizabeth Gordon's specialty?

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

Is Elizabeth Gordon enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Elizabeth Gordon was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.