NPI 1013097161

Jennifer Ivy Gordon, MSW

Practitioner Clinical Social Worker Montpelier, VT

Practice location

Address: 156 Main St, Montpelier, VT 05602-2702
Phone: (802) 223-4738
Fax: (802) 223-6067
Mailing address: PO Box 547 Central Vermont Medical Center - Finance Dept, Barre, VT 05641-0547

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 089-0000857 (VT)

Other Social Worker providers in Vermont →

Registry record

NPI: 1013097161
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Oct 2006
Record last updated: 9 Dec 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.