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

Individual provider Clinical Social Worker · NPI 1063150795

Shioban Natassia Gordon, LCSW is a Clinical Social Worker in Newington, Connecticut. Licensed in Connecticut. Registered with an NPI since 2022.

Licensed in
CT
In the registry since
2022
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

1268 Main St Ste 204
Newington, CT 06111-3043
Phone: (860) 785-6222
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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 012122 (CT)

Record details

NPI number1063150795
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMay 23, 2022
Last updated in NPPESOctober 30, 2025
Certification dateOctober 30, 2025

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