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CALLISTA ANN GORDON
NPI 1508533555
Social Worker - Clinical in South Bend, IN

Active since August 26, 2021
1001 N HICKORY RD, SOUTH BEND, IN 46615(574) 314-5987 Get Directions Write a Review

NPPES record last updated: August 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Callista Ann Gordon NPPES

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

CALLISTA ANN GORDON (NPI 1508533555) is an individual clinical provider in South Bend, Indiana and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1508533555
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCALLISTA ANN GORDON
Location Address1001 N HICKORY RDSouth Bend, IN 46615-3702
Mailing Address503 Downey AveMishawaka, IN 46544-3455 · (574) 220-4701
Phone(574) 314-5987
Sole ProprietorNo
Enumeration DateAugust 26, 2021
NPPES CertifiedAugust 26, 2021
✔ NPI 1508533555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
1001 N HICKORY RD, South Bend, IN 46615
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Other Providers at the Same Location NPPES 4

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

MICHIANA HEARING CARE CENTER, P.C.
Clinic/Center (Hearing and Speech)
1001 N HICKORY RD, SUITE 8A
SOUTH BEND, IN 46615
St. Joseph County (574) 232-3100
ALEXIS MARTEL-LAMOTHE
Student in an Organized Health Care Education/Training Program
1001 N HICKORY RD, SUITE 3
SOUTH BEND, IN 46615
St. Joseph County (574) 314-5987
DR. STEVEN C WONG DDS, MS
Dentist (Orthodontics and Dentofacial Orthopedics)
1001 N HICKORY RD, SUITE 9
SOUTH BEND, IN 46615
St. Joseph County (574) 288-8600
STEVEN PAUL TURNER M.S.
Counselor (Mental Health)
1001 N HICKORY RD, SUITE 8A
SOUTH BEND, IN 46615
St. Joseph County (574) 903-4425

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 Callista Gordon's NPI number?

The NPI number for Callista Gordon is 1508533555. It was assigned to this individual provider in the NPPES registry on August 26, 2021.

Where is Callista Gordon located?

Callista Gordon practices at 1001 N Hickory Rd, South Bend, IN 46615. The listed phone number is (574) 314-5987.

What is Callista 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 Callista Gordon was last updated on August 26, 2021. 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.