National Provider Identifier

Dellisa Gordon

Dellisa Gordon is listed in the NPPES registry with a primary specialty of Social Worker in Williamsville, NY and a listed phone number of (347) 420-7346.

NPI 1780255307Williamsville, NYSocial Worker

Profile Overview

NPI
1780255307
Provider Type
Individual
Primary Specialty
Social Worker
Enumeration Date
July 06, 2021
Last Updated
February 09, 2026

Practice Location

  • 8203 Main St Ste 2
  • Williamsville, NY 14221-6051

Phone: (347) 420-7346

Specialties

  • Social Worker (104100000X)
Full Record
NPI
1780255307
Entity Type
Individual
Last Name
Gordon
First Name
Dellisa
Mailing Street Address
8203 Main St Ste 2
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221-6051
Mailing Country
US
Practice Street Address
8203 Main St Ste 2
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-6051
Practice Country
US
Practice Phone
(347) 420-7346
Enumeration Date
July 06, 2021
Last Updated
February 09, 2026
Sex
Female
Sole Proprietor
No
Certification Date
February 09, 2026
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Social Worker (104100000X)