National Provider Identifier
David E Gordon, LCSW-R
David E Gordon, LCSW-R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Amherst, NY and a listed phone number of (716) 970-2182.
Profile Overview
- NPI
- 1821133554
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- February 20, 2007
- Last Updated
- December 27, 2018
Practice Location
- 4476 Main Street, Suite 208
- Amherst, NY 14226
Phone: (716) 970-2182
Mailing Address
- 15 Cascade Dr
- Amherst, NY 14228-1827
Specialties
- Clinical Social Worker (1041C0700X)
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1821133554
- Entity Type
- Individual
- Last Name
- Gordon
- First Name
- David
- Middle Name
- E
- Name Prefix
- Mr.
- Credential
- LCSW-R
- Mailing Street Address
- 15 Cascade Dr
- Mailing City
- Amherst
- Mailing State
- NY
- Mailing ZIP Code
- 14228-1827
- Mailing Country
- US
- Mailing Phone
- (716) 970-2182
- Practice Street Address
- 4476 Main Street, Suite 208
- Practice City
- Amherst
- Practice State
- NY
- Practice ZIP Code
- 14226
- Practice Country
- US
- Practice Phone
- (716) 970-2182
- Enumeration Date
- February 20, 2007
- Last Updated
- December 27, 2018
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X), Clinical Social Worker (1041C0700X)
- Other Identifiers
- 000525347001 (NY, Blue Cross Of Wny)