TRACY GORDON LICSW
NPI 1649430695
Social Worker - Clinical in Saint Cloud, MN

Active since June 12, 2008PECOS EnrolledAccepts Medicare Assignment
4801 VETERANS DR, SAINT CLOUD, MN 56303(320) 252-1670 Get Directions Write a Review

NPPES record last updated: January 29, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tracy Gordon Licsw NPPES

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

TRACY GORDON LICSW (NPI 1649430695) is an individual clinical provider in Saint Cloud, Minnesota, licensed in Minnesota (19077) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1649430695
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTRACY GORDONCredential: LICSW
Location Address4801 VETERANS DRSaint Cloud, MN 56303-2015
Mailing Address4801 Veterans DrSaint Cloud, MN 56303-2015 · (320) 252-1670
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateJune 12, 2008
Last NPPES UpdateJanuary 29, 2025
NPPES CertifiedJanuary 29, 2025
NPI 1649430695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MN · 19077
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.

Also ListedSocial WorkerTaxonomy 104100000X · License 19077 (MN)
4801 VETERANS DR, Saint Cloud, MN 56303

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Tracy Gordon Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840715421
PECOS Enrollment IDI20250416000812
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56303 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Women's Health)
4801 VETERANS DR
SAINT CLOUD, MN 56303
Pharmacist (Pharmacotherapy)
4801 VETERANS DR
SAINT CLOUD, MN 56303
Physician Assistant
4801 VETERANS DR
SAINT CLOUD, MN 56303
Clinical Nurse Specialist (Psychiatric/Mental Health)
4801 VETERANS DR
SAINT CLOUD, MN 56303
Internal Medicine
4801 VETERANS DR
SAINT CLOUD, MN 56303
Social Worker (Clinical)
4801 VETERANS DR
SAINT CLOUD, MN 56303
Dietitian, Registered
4801 VETERANS DR
SAINT CLOUD, MN 56303
Dietitian, Registered
4801 VETERANS DR
SAINT CLOUD, MN 56303

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649430695, enumerated as an "individual" on June 12, 2008.

The provider is located at 4801 VETERANS DR SAINT CLOUD, MN 56303 and the phone number is (320) 252-1670.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: HealthPartners. Please consult your insurance carrier or call the provider to verify.