SearchMaryland1041C0700X

Diane Gordon, LICSW

NPI 1477692937 · on the registry since 2007

Practice

Address
6709 Berkshire Dr
Temple Hills, MD 20748
Phone
(313) 608-5307

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
101YA0400X
1041C0700X
1041C0700X
Licence states on file
DC, MD, VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-08-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland