DEJA KEANNA GORDON LCSW
NPI 1811658487
Social Worker - Clinical in Virginia Beach, VA

Q: What is Deja Gordon's NPI number?

The NPI number for Deja Gordon is 1811658487. It was assigned to this individual provider in the NPPES registry on January 6, 2022.

Q: What is Deja Gordon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Deja Gordon was last updated on January 19, 2024. 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 January 06, 2022PECOS Enrolled

3388 PRINCESS ANNE RD STE 2001, VIRGINIA BEACH, VA 23456(757) 507-7270 Get Directions Write a Review

NPPES record last updated: January 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Deja Keanna Gordon Lcsw NPPES

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

DEJA KEANNA GORDON LCSW (NPI 1811658487) is an individual clinical provider in Virginia Beach, Virginia, licensed in Virginia (0904013488) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Virginia Beach.

NPPES Registry Identity

NPI1811658487

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameDEJA KEANNA GORDONCredential: LCSW

Location Address3388 PRINCESS ANNE RD STE 2001Virginia Beach, VA 23456-2612

Mailing Address3388 Princess Anne Rd Ste 2001Virginia Beach, VA 23456-2612 · (757) 507-7270

Phone(757) 507-7270

Sole ProprietorNo

Enumeration DateJanuary 6, 2022

Last NPPES UpdateJanuary 19, 2024

NPPES CertifiedJanuary 19, 2024

✔ NPI 1811658487 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 · 0904013488

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.

3388 PRINCESS ANNE RD STE 2001, Virginia Beach, VA 23456

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Secondary Practice Location 1

Location 1800 Newtown Rd Ste 104Virginia Beach, VA 23462-1265 · Phone (757) 974-1469

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Deja Keanna Gordon Lcsw 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23456 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 $56.19 – $170.30

Typical copayment $0.00 (range $14.04 – $42.57)

Most-billed visit code NA

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

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.

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Other Providers at the Same Location NPPES 14

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

DR. JESSICA ANNE GURLEY M.D.

Psychiatry & Neurology (Psychiatry)