Individual provider · Type 1 NPI

Laine Maren Gordon, LCSW

Clinical Social Worker · Grand Forks Afb, ND

NPI number 1982181749 Active

Practice location

1599 Jones St
Grand Forks Afb, ND 58205-6306

Mailing address

4757 Curt Cir
Grand Forks, ND 58201-8030

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCSW.09925184 (CO)

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 1982181749

Laine Maren Gordon, LCSW's National Provider Identifier is 1982181749, issued on Jul 25, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Grand Forks Afb, ND. The record was last updated on Dec 5, 2025.