Provider Demographics
NPI:1750113601
Name:GORDON, MOLLY ISABELLE (MSW, LCSWA)
Entity type:Individual
Prefix:
First Name:MOLLY
Middle Name:ISABELLE
Last Name:GORDON
Suffix:
Gender:F
Credentials:MSW, LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:537 COLLEGE ST STE 102
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-2412
Mailing Address - Country:US
Mailing Address - Phone:828-532-6717
Mailing Address - Fax:
Practice Address - Street 1:537 COLLEGE ST STE 102
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-2412
Practice Address - Country:US
Practice Address - Phone:828-532-6717
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-19
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0211721041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical