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JAMIE GORDON LICSW, LADC
NPI 1881310886
Social Worker - Clinical in Fridley, MN

Active since October 12, 2022PECOS Enrolled
7590 LYRIC LN NE, FRIDLEY, MN 55432(763) 236-4300 Get Directions Write a Review

NPPES record last updated: June 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 3, 2024, Oct 12, 2022 (2 updates tracked since 2022).

About Jamie Gordon Licsw, Ladc NPPES

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

JAMIE GORDON LICSW, LADC (NPI 1881310886) is an individual clinical provider in Fridley, Minnesota, licensed in Minnesota (24444) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881310886
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJAMIE GORDONCredential: LICSW, LADC
Location Address7590 LYRIC LN NEFridley, MN 55432-3251
Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-9000
Phone(763) 236-4300
Sole ProprietorYes
Enumeration DateOctober 12, 2022
Last NPPES UpdateJune 3, 20242 updates tracked since enumeration
NPPES CertifiedJune 3, 2024
✔ NPI 1881310886 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 · 24444
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.
7590 LYRIC LN NE, Fridley, MN 55432
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jamie Gordon Licsw, Ladc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 55432 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 11

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

NATALIE MARIE KALAHAR MA, LADC, LPCC
Counselor (Professional)
7590 LYRIC LN NE
FRIDLEY, MN 55432
Anoka County (763) 236-4300
KELLY MARIE KARJALAHTI MA, LPC
Counselor (Professional)
7590 LYRIC LN NE
FRIDLEY, MN 55432
Anoka County (763) 236-4300
KATHRYN KIM SELMO MD
Psychiatry & Neurology (Psychiatry)
7590 LYRIC LN NE
FRIDLEY, MN 55432
Anoka County (763) 236-3800
CAROMYR FIGUEROA SILVESTRINI MD
Psychiatry & Neurology (Psychiatry)
7590 LYRIC LN NE
FRIDLEY, MN 55432
Anoka County (763) 236-3800
STACEY NICOLE BISHOFSKY LICSW
Social Worker (Clinical)
7590 LYRIC LN NE
FRIDLEY, MN 55432
Anoka County (763) 236-4300
MS. SHARON ELLEN FEARON BS/BCC/LADC
Counselor (Addiction (Substance Use Disorder))
7590 LYRIC LN NE
FRIDLEY, MN 55432
Anoka County (763) 236-4300
TOUCHSTONE MENTAL HEALTH
Community Based Residential Treatment Facility, Mental Illness
7590 LYRIC LN NE
FRIDLEY, MN 55432
Anoka County (612) 874-6409
SHANNON MARIE PATCHEN CNP
Nurse Practitioner
7590 LYRIC LN NE
FRIDLEY, MN 55432
Anoka County (763) 236-4300

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 Jamie Gordon's NPI number?

The NPI number for Jamie Gordon is 1881310886. It was assigned to this individual provider in the NPPES registry on October 12, 2022.

Where is Jamie Gordon located?

Jamie Gordon practices at 7590 Lyric Ln NE, Fridley, MN 55432. The listed phone number is (763) 236-4300.

What is Jamie Gordon's specialty?

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

Is Jamie Gordon enrolled in Medicare?

Yes. Jamie Gordon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jamie Gordon was last updated on June 3, 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.