Kathleen Costello Gordon , LICSW
Social Worker • Springfield, MA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kathleen Costello Gordon has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Kathleen Costello Gordon, LICSW was a registered Social Worker practicing in Springfield, MA. Throughout an active medical career spanning 16 years, Kathleen Costello Gordon provided care at the practice location at 130 MAPLE ST STE 325 until profile deactivation on 2023-11-29.
Historical Medicare Part B clinical services included psychotherapy. Public procedure reimbursement records and service volume details are provided below for historical transparency.
Practice Location & Contact Primary Location
130 Maple St Ste 325
Springfield, MA 011032215
Specialty Benchmarks & Practice Insights
Comparative analytics for Social Worker in Springfield, MA
Practicing in Springfield, MA (5619 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
90834
Psychotherapy, 45 minutes
|
155 | 12 | $125.00 | $79.62 |
Medical Specialties & State Licenses
NUCC Taxonomy Code: 104100000X
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Counselor
Community Health Worker
Social Worker
Counselor
Counselor
Bachelor of Science
Case Manager/Care Coordinator
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on November 29, 2023
NPI status registered as active in NPPES database
Registered at 130 MAPLE ST STE 325, SPRINGFIELD, MA 011032215 (Tel: 4137379544)
Registered at 206 WESTERN AVE, WESTFIELD, MA 010852562
Recorded as KATHLEEN COSTELLO GORDON, LICSW
Social Worker (License #1030033 in MA)
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
Mailing Address
206 Western Ave
Westfield, MA 010852562
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