Individual
JANAE L GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
230 NORTHLAND BLVD, CINCINNATI, OH 45246-3675
(937) 520-7871
Mailing address
230 NORTHLAND BLVD STE 212, CINCINNATI, OH 45246-3752
(937) 520-7871
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S.2309707
—
171M00000X
Case Manager/Care Coordinator
—
OH
390200000X
Student in an Organized Health Care Education/Training Program
S.2302851-TRNE
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000
LICENSURE BOARD
OH
Enumeration date
08/14/2018
Last updated
07/04/2025
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