Individual
MS. DIANE GORDON
Active
Individual
MS. DIANE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC200001959
DC
1041C0700X
Clinical Social Worker
0904008521
VA
1041C0700X
Clinical Social Worker
29535
MD
1041C0700X
Clinical Social Worker
6801059388
MI
1041C0700X
Clinical Social Worker
Primary
LC200001959
DC
Other
Enumeration date
02/05/2007
Last updated
08/18/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up