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MR. COLT GORDON LCSW 110973
NPI 1538762471
Social Worker - Clinical in Cody, WY

Active since November 20, 2020

NPPES record last updated: January 31, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Colt Gordon Lcsw 110973 NPPES

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

MR. COLT GORDON LCSW 110973 (NPI 1538762471) is an individual clinical provider in Cody, Wyoming, licensed in California (110973) and active in the NPI registry since November 2020. He maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1538762471
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. COLT GORDONCredential: LCSW 110973
Location Address627 15TH STCody, WY 82414-3109
Mailing Address627 15th StCody, WY 82414-3109 · (619) 453-5063
Phone(619) 453-5063
Sole ProprietorNo
Enumeration DateNovember 20, 2020
Last NPPES UpdateJanuary 31, 2024
NPPES CertifiedJanuary 31, 2024
✔ NPI 1538762471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in CA · 110973✔ Licensed in WY · 1577
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.
627 15TH ST, Cody, WY 82414
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Other Names 1

Former Name (1)Colt Gordon

Secondary Practice Location 1

Location 15101 Santa Monica Blvd, PMB1530Los Angeles, CA 90029-2478 · Phone (626) 539-3524

Other Providers at the Same Location NPPES

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

BYDAND THERAPY & CONSULTING PC
Counselor
627 15TH ST
CODY, WY 82414
Park County (626) 539-3524

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 Colt Gordon's NPI number?

The NPI number for Colt Gordon is 1538762471. It was assigned to this individual provider in the NPPES registry on November 20, 2020.

Where is Colt Gordon located?

Colt Gordon practices at 627 15th St, Cody, WY 82414. The listed phone number is (619) 453-5063.

What is Colt 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 Colt Gordon was last updated on January 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.