MEDICARE: FAITH GORDON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker		PA

General Provider Information

NPI Number	:	1205765807
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FAITH GORDON

Provider Business Mailing Address
First Line	:	100 WINDING CREEK BLVD # 3
Second Line	:
City	:	MECHANICSBURG
State	:	PA
Zip	:	17050-1883
Country	:	US
Telephone Number	:	717-590-7283
Fax Number	:	717-590-7297

Provider Business Practice Location Address
First Line	:	100 WINDING CREEK BLVD # 3
Second Line	:
City	:	MECHANICSBURG
State	:	PA
Zip	:	17050-1883
Country	:	US
Telephone Number	:	717-590-7283
Fax Number	:	717-590-7297

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2026
Last Update Date	:	05/18/2026

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Directions to “ FAITH GORDON ” Practice Location

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