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NPI 1295677862ActiveOrganization· Social Worker, Clinical· Hyattsville, MD

Social Worker, Clinical in Hyattsville, Maryland, registered in NPPES in April 2026. The authorized official on file is Jeff Gordon, President.

Overview

NPI1295677862
StatusActive
Entity typeOrganization
NPI issuedApr 6, 2026
Last updated in NPPESApr 6, 2026
Certified by providerApr 6, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Social Worker, Clinical Primary1041C0700X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Social Worker, Clinical providers in Hyattsville

All Social Worker, Clinical providers in Maryland →