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MRS. SHIRLENE MINETA GORDON LCSW
NPI 1982851820
Social Worker - Clinical in Marietta, GA

Active since August 21, 2008PECOS Enrolled
1264 EMMA JEAN PL SW, MARIETTA, GA 30064(770) 912-8894(770) 573-7316 Get Directions Write a Review

NPPES record last updated: August 21, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Shirlene Mineta Gordon Lcsw NPPES

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

MRS. SHIRLENE MINETA GORDON LCSW (NPI 1982851820) is an individual clinical provider in Marietta, Georgia, licensed in Georgia (002518) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982851820
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. SHIRLENE MINETA GORDONCredential: LCSW
Location Address1264 EMMA JEAN PL SWMarietta, GA 30064-3798
Mailing Address2500 Dallas Hwy Sw Ste 202Marietta, GA 30064-7505 · (770) 912-8894 · Fax (770) 573-7316
Phone(770) 912-8894
Fax(770) 573-7316
Sole ProprietorNo
Enumeration DateAugust 21, 2008
✔ NPI 1982851820 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 GA · 002518
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.
1264 EMMA JEAN PL SW, Marietta, GA 30064
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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)

Mrs. Shirlene Mineta 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 30064 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 $56.84 – $172.43
Typical copayment $0.00 (range $14.21 – $43.10)
Most-billed visit code NA
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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

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

JADS SERVICES INC.
Community/Behavioral Health
1264 EMMA JEAN PL SW
MARIETTA, GA 30064
Cobb County (770) 912-8894

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 Shirlene Gordon's NPI number?

The NPI number for Shirlene Gordon is 1982851820. It was assigned to this individual provider in the NPPES registry on August 21, 2008.

Where is Shirlene Gordon located?

Shirlene Gordon practices at 1264 Emma Jean Pl SW, Marietta, GA 30064. The listed phone number is (770) 912-8894.

What is Shirlene Gordon's specialty?

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

Is Shirlene Gordon enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Shirlene Gordon was last updated on August 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.