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

Dianne M Gordon, LICSW

Individual provider Clinical Social Worker · NPI 1154544096

Dianne M Gordon, LICSW is a Clinical Social Worker in Coon Rapids, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

11427 Hanson Blvd NW
Coon Rapids, MN 55433-3719
Phone: (763) 754-1531
Fax: (763) 754-3155
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 7835 (MN)

Record details

NPI number1154544096
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedApril 10, 2007
Last updated in NPPESJuly 8, 2007

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