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

Individual provider Clinical Social Worker · NPI 1649430695

Tracy Gordon, LICSW is a Clinical Social Worker in Saint Cloud, Minnesota. Qualified in 2008, 18 years ago. Practices with Processus PA, a 9-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
18
Licensed in
MN
In the registry since
2008
Specialties on file
2
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

4801 Veterans Dr
Saint Cloud, MN 56303-2015
Phone: (320) 252-1670
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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 19077 (MN)
Social Worker Taxonomy 104100000X · Licence 19077 (MN)

Record details

NPI number1649430695
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedJune 12, 2008
Last updated in NPPESJanuary 29, 2025
Certification dateJanuary 29, 2025
Mailing address4801 Veterans Dr, Saint Cloud, MN 56303-2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Processus P.A. — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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