Crossroads Therapy, LLC
NPI 1285144949ActiveOrganization· Social Worker, Clinical· Jacksonville Beach, FL
Social Worker, Clinical in Jacksonville Beach, Florida, registered in NPPES in October 2017. The authorized official on file is Kelly Suzanne Gordon, LCSW, Therapist.
Overview
| NPI | 1285144949 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 9, 2017 |
| Last updated in NPPES | Oct 9, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 14099 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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