CALLISTA GORDON THERAPY, LLC - NPI 1932933884 - Social Worker in South Bend, IN

Q: What is Callista Gordon Therapy, LLC's NPI number?

The NPI number for Callista Gordon Therapy, LLC is 1932933884. It was assigned to this organization in the NPPES registry on August 30, 2024.

Q: What is Callista Gordon Therapy, LLC's specialty?

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

On this page

About Callista Gordon Therapy, Llc NPPES

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

CALLISTA GORDON THERAPY, LLC (NPI 1932933884) is a healthcare organization registered as a clinical in South Bend, Indiana and active in the NPI registry since August 2024. The organization lists Callista Gordon, Owner, as its authorized official.

NPPES Registry Identity

NPI1932933884

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameCALLISTA GORDON THERAPY, LLC

Location Address53846 GENERATIONS DRSouth Bend, IN 46635-1543

Mailing Address503 Downey AveMishawaka, IN 46544-3455 · (574) 220-4701

Phone(574) 701-2799

Organization SubpartNo

Authorized OfficialCallista GordonOwner · (574) 220-4701

Enumeration DateAugust 30, 2024

NPPES CertifiedAugust 30, 2024

✔ NPI 1932933884 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.

53846 GENERATIONS DR, South Bend, IN 46635

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

MS. DEBORAH KAY CLARDY L.M.H.C.

Counselor (Mental Health)