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CIMENA GORDON LICSW
NPI 1104206630
Social Worker - Clinical in Roseville, MN

Active since May 29, 2015Opted out of Medicare · through Nov 1, 2027
2277 HIGHWAY 36 W, SUITE 310, ROSEVILLE, MN 55113(651) 224-2172 Get Directions Write a Review

NPPES record last updated: May 29, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cimena Gordon Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CIMENA GORDON LICSW (NPI 1104206630) is an individual clinical provider in Roseville, Minnesota, licensed in Minnesota (16486) and active in the NPI registry since May 2015. She has opted out of Medicare through November 1, 2027.

NPPES Registry Identity

NPI1104206630
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCIMENA GORDONCredential: LICSW
Location Address2277 HIGHWAY 36 W, SUITE 310Roseville, MN 55113-3804
Mailing AddressPo Box 7903Saint Paul, MN 55107-0903 · (651) 224-2172
Phone(651) 224-2172
Sole ProprietorYes
Enumeration DateMay 29, 2015
✔ NPI 1104206630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MN · 16486
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
2277 HIGHWAY 36 W, Roseville, MN 55113
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Cimena Gordon Licsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 1, 2021 through November 1, 2027.

Opt-Out Effective DateNovember 1, 2021
Opt-Out In Effect ThroughNovember 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KRISTINE ELIZABETH WIESE M.D.
Psychiatry & Neurology (Forensic Psychiatry)
2277 HIGHWAY 36 W
ROSEVILLE, MN 55113
Ramsey County (612) 255-0628
KAROL JENSEN-SCHNEIDER
Social Worker (Clinical)
2277 HIGHWAY 36 W, SUITE 310
ROSEVILLE, MN 55113
Ramsey County (651) 728-3370
MRS. LAURA COSIO LMFT
Marriage & Family Therapist
2277 HIGHWAY 36 W, SUITE 310
ROSEVILLE, MN 55113
Ramsey County (612) 331-4429
JUDITH MARIE ELLERBUSCH NP
Specialist
2277 HIGHWAY 36 W
ROSEVILLE, MN 55113
Ramsey County (651) 631-0065
NICOLLETTE ERICKSON MA, LPCC, LADC
Counselor (Professional)
2277 HIGHWAY 36 W, SUITE 310
ROSEVILLE, MN 55113
Ramsey County (612) 819-0378

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cimena Gordon's NPI number?

The NPI number for Cimena Gordon is 1104206630. It was assigned to this individual provider in the NPPES registry on May 29, 2015.

Where is Cimena Gordon located?

Cimena Gordon practices at 2277 Highway 36 W Suite 310, Roseville, MN 55113. The listed phone number is (651) 224-2172.

What is Cimena Gordon's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Cimena Gordon enrolled in Medicare?

No. Cimena Gordon has opted out of Medicare through November 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Cimena Gordon accept?

Health plans from HealthPartners list Cimena Gordon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cimena Gordon was last updated on May 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.