Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Jill Shannon Gordy-Moody, LCSW

Individual provider Clinical Social Worker · NPI 1295778389

Mrs. Jill Shannon Gordy-Moody, LCSW is a Clinical Social Worker in San Diego, California. Licensed in Virginia. Registered with an NPI since 2006.

Licensed in
VA
In the registry since
2006
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

3350 La Jolla Village Dr
San Diego, CA 92161-0002
Phone: (858) 552-8585
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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 0904005864 (VA)

Record details

NPI number1295778389
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJune 14, 2006
Last updated in NPPESAugust 29, 2013

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