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

Malycia Jarrett Gordon

Individual provider Clinical Social Worker · NPI 1497539415

Malycia Jarrett Gordon is a Clinical Social Worker in Smithtown, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2023
Specialties on file
2

Practice location Address checks out

118 Fifty Acre Rd S
Smithtown, NY 11787-2035
Phone: (347) 228-2789
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X
Clinical Social Worker Taxonomy 1041C0700X · Licence 107708 (NY)

Record details

NPI number1497539415
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 21, 2023
Last updated in NPPESAugust 24, 2023
Certification dateAugust 24, 2023

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