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

Individual provider Clinical Social Worker · NPI 1881310886

Jamie Gordon, LICSW, LADC is a Clinical Social Worker in Fridley, Minnesota. Practices as a sole proprietor and works from 2 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2022
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

7590 Lyric Ln NE
Fridley, MN 55432-3251
Phone: (763) 236-4300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 17159 Potassium St Nw, Ramsey, MN 55303-7318 — (320) 282-0959

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 24444 (MN)

Record details

NPI number1881310886
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW , LADC
Sole proprietorYes
NPI enumeratedOctober 12, 2022
Last updated in NPPESJune 3, 2024
Certification dateJune 3, 2024

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