DEVRA SARA GORDON (LCSW) – Clinical Social Worker, NPI 1326620303

DEVRA SARA GORDON (LCSW) is a healthcare provider. based in Chantilly, Virginia. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 0904012837 (VA). The NPI Number for DEVRA SARA GORDON (LCSW) is 1326620303

Main info

Female
Sole Proprietor
34 Years Of Experience
Accepts Medicare Assignment
Name
DEVRA SARA GORDON (LCSW)
NPI
1326620303
Phone
(618) 558-4326
Address
13563 POINT PLEASANT DR
Enumeration Date
28 April 2021
Last Update Date
28 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7035924600
Graduation Year
1992 (34 years ago)
PAC ID
2668849803
Group Practice PAC ID
3375978984
Professional Enrollment ID
I20221101002249
Address ID
VA221823962VI2110XRDXX303
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

2,023 CLINICAL SOCIAL WORKER in VA

Provider Addresses for DEVRA SARA GORDON (LCSW)

  • 13563 POINT PLEASANT DR

    CHANTILLY, VA 201512442

    Phone: (618) 558-4326

    Type: Mailing

  • 801 N QUINCY ST STE 620

    ARLINGTON, VA 222031729

    Phone: (703) 812-4642

    Type: Location

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: 2022-11-01

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
I20221101002249IClinical Social WorkerDCTBD

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 20151)

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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: 3375978984View full group profile
NameSpecialtyState
Mental Health CounselorVA
Family Practice, General PracticeVA
Nurse PractitionerVA
Clinical Social WorkerVA
P S Y C H I A T R YPA
Nurse PractitionerVA
P S Y C H I A T R YVA
Psychiatry, Geriatric PsychiatryMD
Mental Health CounselorVA
Psychiatry, NeuropsychiatryVA

Reviews

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Frequently asked questions

What is the standard ID for DEVRA SARA GORDON (LCSW) in the U.S.?
In the U.S., DEVRA SARA GORDON (LCSW) is identified by NPI 1326620303.
Is DEVRA SARA GORDON (LCSW) currently accepting referrals based on NPI status?
Registry metadata lists DEVRA SARA GORDON (LCSW) as active.
What services align with DEVRA SARA GORDON (LCSW)'s listing?
DEVRA SARA GORDON (LCSW)'s public classification highlights Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is DEVRA SARA GORDON (LCSW) tied to Chantilly, Virginia?
If you are local to Chantilly, Virginia, DEVRA SARA GORDON (LCSW) may be relevant to your search.
Why is information missing for DEVRA SARA GORDON (LCSW)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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