Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1518071117 Individual Practitioner Male Practitioner

Tyrone M Gordon , RCSWI

Social Worker - Clinical • St Augustine, FL

Professional Overview & Biography Verified Profile Summary

Tyrone Gordon, RCSWI is a registered healthcare professional specializing in Social Worker - Clinical in St Augustine, FL. Practice services are available at 1955 US HIGHWAY 1 S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1955 Us Highway 1 S
Suite C-2

St Augustine, FL 320863708

Telephone 9048255048
Fax 9048256824
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in St Augustine, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.3 Yrs
State Avg: 19.5 Yrs
Regional Practice Density
90 Specialists

Practicing in St Augustine, FL (13861 Statewide)

Telehealth Adoption Rate
8.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License FL ISW3754

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
76097800 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Lisa Johnson , BA

Counselor - Mental Health

NPI 1437148962

Bachelor of Arts

Tara Haley , LMFT

Marriage & Family Therapist

NPI 1528057916

Licensed Marriage and Family Therapist

Allison Walsh , BA

Counselor - Mental Health

NPI 1689663122

Bachelor of Arts

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 1955 US HIGHWAY 1 S, SUITE C-2, ST AUGUSTINE, FL 320863708 (Tel: 9048255048)

📍
Updated Business Mailing Address July 09, 2007

Registered at 1955 US HIGHWAY 1 S, SUITE C-2, ST AUGUSTINE, FL 320863708 (Tel: 9048255048)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as TYRONE GORDON, RCSWI

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Social Worker (License #ISW3754 in FL)

🟢
Initial NPI Registration & Enumeration August 19, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1518071117
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 19, 2006
Last Update: July 09, 2007
Sole Proprietor: No

Mailing Address

1955 Us Highway 1 S, Suite C-2

St Augustine, FL 320863708

Phone: 9048255048

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.