Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DIANNE M GORDON, LICSW
ActiveDIANNE M GORDON, LICSW is a Clinical Social Worker healthcare provider located in COON RAPIDS, Minnesota. NPI 1154544096 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · COON RAPIDS, MN
Registration Details
- NPI Number
- 1154544096
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 10, 2007 (19.157776482798 yrs)
- Last Updated
- Jul 8, 2007
- License
-
7835 (MN)
Practice Information
- Address
-
11427 HANSON BLVD NWCOON RAPIDS, MN, 554333719Browse MN providers · Browse ZIP 55433
- Phone
- 7637541531
- Fax
- 7637543155
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in COON RAPIDS, MN
| Name | Credential | NPI |
|---|---|---|
| LADONNA RAE MEINECKE | LICSW | 1568436525 |
| RICHARD ALAN WANDERSEE | MSW LICSW | 1083689624 |
| ROBERT ALLEN SULLIVAN | LICSW | 1548224355 |
| KRISTI RUTH SANDIN | MSW, LICSW | 1326076050 |
| DAVID J MATHEWS | LICSW | 1093815136 |
| MARLENE ANN BEECROFT | MSSW, LICSW | 1194867432 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.