Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacqueline Sharon Gordon, LCSW

Individual provider Mental Health Counselor · NPI 1073187894

Jacqueline Sharon Gordon, LCSW is a Clinical Social Worker in Atlanta, Georgia. Qualified in 2019, 7 years ago. Licensed in Georgia and Maryland.

Years since qualifying
7
Licensed in
GA, MD
In the registry since
2021
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1870 The Exchange SE Ste 200
Atlanta, GA 30339-2021
Phone: (678) 661-1814
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CSW009319 (GA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 26891 (MD)

Record details

NPI number1073187894
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMay 17, 2021
Last updated in NPPESSeptember 29, 2025
Certification dateSeptember 29, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated

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