Wade Gordon, LCSW
Wade Gordon, LCSW is a Clinical Social Worker in Rexburg, Idaho. Licensed in Idaho. Registered with an NPI since 2007.
- Licensed in
- ID
- In the registry since
- 2007
What do these letters mean?
- LCSW — Licensed Clinical Social Worker
- A social worker licensed to diagnose and treat mental health conditions independently.
Practice location Address checks out
310 N 2nd E Ste 128Rexburg, ID 83440-1600
Phone: (208) 356-5675
Fax: (208) 356-5675
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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 LCSW-27205 (ID) |
|---|
Record details
| NPI number | 1376740134 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LCSW |
| Sole proprietor | No |
| NPI enumerated | June 27, 2007 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 310 N 2nd E, Suite 128, Rexburg, ID 83440-1600 |
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