Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cimena Gordon, LICSW

Individual provider Clinical Social Worker · NPI 1104206630

Cimena Gordon, LICSW is a Clinical Social Worker in Roseville, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2015
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

2277 Highway 36 W Ste 310
Roseville, MN 55113-3804
Phone: (651) 224-2172
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 16486 (MN)

Record details

NPI number1104206630
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedMay 29, 2015
Last updated in NPPESMay 29, 2015
Mailing addressPo Box 7903, Saint Paul, MN 55107-0903

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