LISA GORDON LMSW
NPI 1558958207
Social Worker in Pontiac, MI

Q: What is Lisa Gordon's NPI number?

The NPI number for Lisa Gordon is 1558958207. It was assigned to this individual provider in the NPPES registry on December 29, 2020.

Q: What is Lisa Gordon's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Gordon was last updated on October 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since December 29, 2020PECOS Enrolled

1685 BALDWIN AVE, PONTIAC, MI 48340(248) 706-3450 Get Directions Write a Review

NPPES record last updated: October 18, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 18, 2023, Aug 10, 2022, Sep 16, 2021 and 2 more (5 updates tracked since 2020).

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About Lisa Gordon Lmsw NPPES

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

LISA GORDON LMSW (NPI 1558958207) is an individual social worker in Pontiac, Michigan and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558958207

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameLISA GORDONCredential: LMSW

Location Address1685 BALDWIN AVEPontiac, MI 48340-1242

Mailing Address18649 GarfieldRedford, MI 48240-1719 · (313) 550-7181 · Fax (800) 663-3201

Phone(248) 706-3450

Sole ProprietorYes

Enumeration DateDecember 29, 2020

Last NPPES UpdateOctober 18, 20235 updates tracked since enumeration

NPPES CertifiedOctober 18, 2023

✔ NPI 1558958207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedDevelopmental TherapistTaxonomy 222Q00000X

1685 BALDWIN AVE, Pontiac, MI 48340

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Gordon Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

MRS. KELLY GROCHOWSKI BSN, RN

Registered Nurse