IndividualActive
Alicia Gordon, LCSW
NPI 1285149955 · Developmental Disabilities Clinic/Center · Fitzgerald, GA
Provider details
- NPI number
- 1285149955
- Entity type
- Individual
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
132 Carol Cir
Fitzgerald, GA 31750-8128
Phone: (561) 252-7261
Approximate (ZIP-level) locationGet directions
Mailing address
5464 Club Cir
Haverhill, FL 33415-1262
Additional practice locations (1)
- 5464 Club CirHaverhill, FL 33415-1262Phone: (561) 252-7261Fax: (561) 252-7261
Registry dates
- Enumerated
- 2017-12-04
- Last updated
- 2020-11-09
- Certified
- 2020-11-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.