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

Nicole L Gordon, LSW

Individual provider Clinical Social Worker · NPI 1144980699

Nicole L Gordon, LSW is a Clinical Social Worker in Towanda, Pennsylvania. Qualified in 2006, 20 years ago. Practices with Mental Health Specialty Group PA, a 679-clinician group and accepts Medicare assignment. Licensed in Maryland, New York, Pennsylvania and Washington.

Years since qualifying
20
Licensed in
MD, NY, PA, WA
In the registry since
2021
Specialties on file
4
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

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Practice location Address checks out

115 Hillcrest Dr
Towanda, PA 18848-8164
Phone: (570) 485-7815
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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 SW138755 (PA)
Clinical Social Worker Taxonomy 1041C0700X · Licence LW61666708 (WA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 34561 (MD)
Clinical Social Worker Taxonomy 1041C0700X · Licence 103495 (NY)

Record details

NPI number1144980699
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSW
Sole proprietorNo
NPI enumeratedDecember 26, 2021
Last updated in NPPESJuly 14, 2026
Certification dateJuly 14, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Mental Health Specialty Group Pa — 679 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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