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

Q: 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.

Q: What is Jamie Gordon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jamie Gordon was last updated on June 3, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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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 and maintains a secondary practice location in Ramsey.

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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Secondary Practice Location 1

Location 117159 Potassium St NWRamsey, MN 55303-7318 · Phone (320) 282-0959

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.