P Praxis·MD
● Active Type 1 · Individual

MS. Susan Riddle Gordon, LCSW

Social Worker·Tifton, GA· NPI 1285678359 · Enumerated 2006 · 19 years on NPI
Gordon is 1 of 20 social worker providers in Tifton and 1 of 5654 in Georgia.
NPI age
19 years
Enumerated 2006-06-16
Primary specialty
Social Worker
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2008-12-02
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 5654 active social worker providers in Georgia.

NPI age
19 years
↑ 10 yr above median (9 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
19% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-06Enumerated in NPPES
2006 2026

Where they practice

Practice location
2402 Tift Ave N, Suite 102
Tifton, GA 317941883
📞 2293926600fax 2293822181
Mailing address
2402 Tift Ave N, Suite 102
Tifton, GA 317941883
📞 2293926600fax 2293822181

Specialties

  • Social Worker Primary
    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...
    GA license #CSW003185 taxonomy 1041C0700X

Identifiers

TypeValueNotes
05 (GA) 486449509B
05 (GA) 486449509C
05 (GA) 486449509D
05 (GA) 486449509A

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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