Provider Demographics
NPI:1164253639
Name:GORDON, FRANCES RHETT (LSW)
Entity type:Individual
Prefix:MS
First Name:FRANCES
Middle Name:RHETT
Last Name:GORDON
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:217 NEWARK AVE APT 209
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07302-3197
Mailing Address - Country:US
Mailing Address - Phone:770-286-7511
Mailing Address - Fax:
Practice Address - Street 1:36-42 NEWARK ST STE 201
Practice Address - Street 2:
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-5655
Practice Address - Country:US
Practice Address - Phone:646-793-6442
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-08
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL07165800104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker