JULIE GORDON (LCSW) – Mental Health Counselor, NPI 1134465230

JULIE GORDON (LCSW) is a healthcare provider. based in Sunrise, Florida. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. SW7151 (AZ). The NPI Number for JULIE GORDON (LCSW) is 1134465230

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
JULIE GORDON (LCSW)
NPI
1134465230
Phone
(954) 749-7230
Address
4200 N UNIVERSITY DR
Enumeration Date
17 December 2012
Last Update Date
17 December 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9547552885
Graduation Year
1997 (29 years ago)
PAC ID
1052730512
Group Practice PAC ID
1759358161
Professional Enrollment ID
I20201001002832
Address ID
FL330674651CO5551XDRXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

3,374 CLINICAL SOCIAL WORKER in FL

Provider Addresses for JULIE GORDON (LCSW)

  • 4200 N UNIVERSITY DR

    SUNRISE, FL 333516210

    Phone: (954) 749-7230

    Fax: (954) 749-7231

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-10-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201001002832IClinical Social WorkerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33351)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759358161View full group profile
NameSpecialtyState
Clinical PsychologistFL
Clinical PsychologistFL
Clinical Social WorkerFL

Reviews

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Frequently asked questions

Can I cross-check JULIE GORDON (LCSW) using NPI 1134465230?
NPI 1134465230 belongs to JULIE GORDON (LCSW); compare other details if you need extra assurance.
Active or inactive — what applies to JULIE GORDON (LCSW)?
You should see JULIE GORDON (LCSW) as active in CMS-hosted NPPES data.
What clinical focus is listed for JULIE GORDON (LCSW)?
At a glance, JULIE GORDON (LCSW) is tied to Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Where in Florida is JULIE GORDON (LCSW) registered?
Use Sunrise, Florida as the headline location for JULIE GORDON (LCSW) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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