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Provider Profile

Kenric G. Gordon, LMSW

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At a glance

About Kenric Gordon

Kenric G. Gordon, LMSW is a social worker practicing in Chubbuck, ID. This provider record is associated with NPI 1114540804.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

School Other Graduated: 2021

Specialty

Social Worker (Primary)

Credentials & Licensing

ID licenceAs reported to the NPI registry
No. LMSW-39661As reported
NPINational Provider Identifier
1114540804Issued 2020

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentSometimes (reported per claim)
Telehealth reported to CMSYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Kenric G. Gordon specialize in?

Kenric G. Gordon is a social worker in Chubbuck, ID. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is Kenric G. Gordon located?

Kenric G. Gordon is listed at 210 W Burnside Ave Ste A, Chubbuck, ID 83202. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Kenric G. Gordon's phone number?

The number on file is (208) 238-9000. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Kenric G. Gordon's NPI number?

Kenric G. Gordon's National Provider Identifier is 1114540804. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Kenric G. Gordon train?

Kenric G. Gordon attended Other, graduating in 2021. This comes from the CMS National Downloadable File.

CMS public data

How long has Kenric G. Gordon been practicing?

Kenric G. Gordon has 5 years experience. Calculated from a graduation year of 2021, reported in the CMS National Downloadable File.

CMS public data

Has Kenric G. Gordon confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Kenric G. Gordon. If this is you, claiming it is free.

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