Individual provider · Type 1 NPI

Kenric Glenn Gordon, LMSW

Social Worker · Chubbuck, ID

NPI number 1114540804 Active

Practice location

210 W Burnside Ave Ste A
Chubbuck, ID 83202-4916

Call (208) 238-9000 Map

Specialties and licenses

TaxonomyCodeLicense
Social Worker Primary 104100000XLMSW-39661 (ID)

Social Worker: 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.

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About NPI 1114540804

Kenric Glenn Gordon, LMSW's National Provider Identifier is 1114540804, issued on May 28, 2020. The primary taxonomy on file is Social Worker (104100000X), and the practice location is in Chubbuck, ID. The record was last updated on May 28, 2020.