Callista Gordon Therapy, LLC
NPI 1932933884ActiveOrganization· Social Worker, Clinical· South Bend, IN
Social Worker, Clinical in South Bend, Indiana, registered in NPPES in August 2024. The authorized official on file is Callista Gordon, MSW, LCSW, Owner.
Overview
| NPI | 1932933884 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 30, 2024 |
| Last updated in NPPES | Aug 30, 2024 |
| Certified by provider | Aug 30, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 |
|---|
Other Social Worker, Clinical providers in South Bend
- 1720250756
- 1699671636
- 1164169538
- 1730463001
- 1538465752
- 1396692661
- 1952075574
- 1104660737
- 1548198724
- 1760221345
- 1558794206
- 1295516854