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GORDON MAX MICKELSON III
NPI 1356678270
Case Manager/Care Coordinator in Rock Springs, WY

Active since November 13, 2009
3508 WHITE MOUNTAIN BLVD, ROCK SPRINGS, WY 82901(307) 389-9169 Get Directions Write a Review

NPPES record last updated: November 13, 2009. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Gordon Max Mickelson Iii NPPES

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

GORDON MAX MICKELSON III (NPI 1356678270) is an individual case manager/care coordinator provider in Rock Springs, Wyoming and active in the NPI registry since November 2009.

NPPES Registry Identity

NPI1356678270
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameGORDON MAX MICKELSON III
Location Address3508 WHITE MOUNTAIN BLVDRock Springs, WY 82901-6842
Mailing Address3508 White Mountain BlvdRock Springs, WY 82901-6842 · (307) 389-9169
Phone(307) 389-9169
Sole ProprietorYes
Enumeration DateNovember 13, 2009
✔ NPI 1356678270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
3508 WHITE MOUNTAIN BLVD, Rock Springs, WY 82901
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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 Gordon Mickelson's NPI number?

The NPI number for Gordon Mickelson is 1356678270. It was assigned to this individual provider in the NPPES registry on November 13, 2009.

Where is Gordon Mickelson located?

Gordon Mickelson practices at 3508 White Mountain Blvd, Rock Springs, WY 82901. The listed phone number is (307) 389-9169.

What is Gordon Mickelson's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Gordon Mickelson was last updated on November 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.