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DIANNE M GORDON LICSW
NPI 1154544096
Social Worker - Clinical in Coon Rapids, MN

Active since April 10, 2007
11427 HANSON BLVD NW, COON RAPIDS, MN 55433(763) 754-1531(763) 754-3155 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dianne M Gordon Licsw NPPES

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

DIANNE M GORDON LICSW (NPI 1154544096) is an individual clinical provider in Coon Rapids, Minnesota, licensed in Minnesota (7835) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1154544096
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDIANNE M GORDONCredential: LICSW
Location Address11427 HANSON BLVD NWCoon Rapids, MN 55433-3719
Mailing Address11427 Hanson Blvd NwCoon Rapids, MN 55433-3719 · (763) 754-1531 · Fax (763) 754-3155
Phone(763) 754-1531
Fax(763) 754-3155
Sole ProprietorNo
Enumeration DateApril 10, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1154544096 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 · 7835
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.
11427 HANSON BLVD NW, Coon Rapids, MN 55433
Open in Google Maps ↗

Other Identifiers 4

Other401G6ANMN · Bcbs
Other6201201MN · Medica Ubh
Medicaid00775155900MN
Other35976MN · Health Partners

Other Providers at the Same Location NPPES

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

ANOKA PSYCHOLOGICAL SERVICES, PA
Social Worker (Clinical)
11427 HANSON BLVD NW
COON RAPIDS, MN 55433
Anoka County (763) 754-1531

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 Dianne Gordon's NPI number?

The NPI number for Dianne Gordon is 1154544096. It was assigned to this individual provider in the NPPES registry on April 10, 2007.

Where is Dianne Gordon located?

Dianne Gordon practices at 11427 Hanson Blvd NW, Coon Rapids, MN 55433. The listed phone number is (763) 754-1531.

What is Dianne Gordon's specialty?

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

When was this NPI record last updated?

The NPPES record for Dianne Gordon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.