Individual provider · Type 1 NPI

Dianne M. Gordon, LICSW

Clinical Social Worker · Coon Rapids, MN

NPI number 1154544096 Active

Practice location

11427 Hanson Blvd NW
Coon Rapids, MN 55433-3719

Call (763) 754-1531 Map

Fax (763) 754-3155

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X7835 (MN)

Clinical Social Worker: 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 licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1154544096

Dianne M. Gordon, LICSW's National Provider Identifier is 1154544096, issued on Apr 10, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Coon Rapids, MN. The record was last updated on Jul 8, 2007.