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

Tyrone M Gordon, RCSWI

Individual provider Clinical Social Worker · NPI 1518071117

Tyrone M Gordon, RCSWI is a Clinical Social Worker in St Augustine, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006

Practice location Address checks out

1955 US Highway 1 S Ste C-2
St Augustine, FL 32086-3708
Phone: (904) 825-5048
Fax: (904) 825-6824
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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 ISW3754 (FL)

Record details

NPI number1518071117
Entity typeIndividual (Type 1)
GenderMale
Credentials RCSWI
Sole proprietorNo
NPI enumeratedAugust 19, 2006
Last updated in NPPESJuly 9, 2007

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