# MS. LISA G GORDON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1780732107
- **Gender:** F
- **Credential:** LCSW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | 0904003348 | VA | Yes |

## Other

- **Enumeration date:** 01/08/2007
- **Last updated:** 06/01/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 104300 | UNITED HEALTH CARE | — |
| 01 | — | 126464 | HEALTHNET FEDERAL SERVICE | — |
| 01 | — | 1550330001 | GREAT WEST HEALTHCARE | — |
| 01 | — | 182922 | ANTHEM HEALTHKEEPERS | — |
| 01 | — | 2037724 | CIGNA | — |
| 01 | — | 268559 | MDIPA | — |
| 01 | — | 282455 | AETNA | — |
| 01 | — | 323386 | MHN | — |
| 01 | — | 4294 | BCBS | — |
| 01 | — | IP282455 | MAGELLAN BEHAVIORAL HEALT | — |