Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WADE GORDON, LCSW
ActiveWADE GORDON, LCSW is a Clinical Social Worker healthcare provider located in REXBURG, Idaho. NPI 1376740134 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · REXBURG, ID
Registration Details
- NPI Number
- 1376740134
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 27, 2007 (19.090402485907 yrs)
- Last Updated
- Jul 8, 2007
- License
-
LCSW-27205 (ID)
Practice Information
- Address
-
310 N 2ND ESUITE 128REXBURG, ID, 834401600Browse ID providers · Browse ZIP 83440
- Phone
- 2083565675
- Fax
- 2083565675
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in REXBURG, ID
| Name | Credential | NPI |
|---|---|---|
| J REED STODDARD | MSW | 1811064801 |
| MR. JARED RYAN OSTERMILLER | LCSW | 1760505747 |
| MR. JON BURNHAM | LCSW | 1396868691 |
| MR. VAIL CODLING | LCSW | 1457575771 |
| ERIC SCOTT FERNELIUS | LCSW | 1154545093 |
| MR. MATTHEW SHERMAN YOUNGBERG | LMFT | 1629287354 |
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.