| Dianne M Gordon, LICSW | |
|
11427 Hanson Blvd Nw, Coon Rapids, MN 55433-3719 | |
| (763) 754-1531 | |
| (763) 754-3155 |
| Full Name | Dianne M Gordon |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 11427 Hanson Blvd Nw, Coon Rapids, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154544096 | NPI | - | NPPES |
| 00775155900 | Medicaid | MN | |
| 35976 | Other | MN | HEALTH PARTNERS |
| 401G6AN | Other | MN | BCBS |
| 6201201 | Other | MN | MEDICA UBH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 7835 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dianne M Gordon, LICSW 11427 Hanson Blvd Nw, Coon Rapids, MN 55433-3719 Ph: (763) 754-1531 | Dianne M Gordon, LICSW 11427 Hanson Blvd Nw, Coon Rapids, MN 55433-3719 Ph: (763) 754-1531 |
Blythe Ellen Nelson, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155 | |
Angela Ronay, M.S.W, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10081 Dogwood St Nw, Suite 100, Coon Rapids, MN 55448 Phone: 763-783-3722 Fax: 763-783-7944 | |
Jennifer Andrews, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 9120 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 612-400-6121 | |
Elizabeth Anne Johnson, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155 Fax: 763-236-1066 | |
Alexa Benevides Mcdermid, MSW, LGSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 199 Coon Rapids Blvd Nw Ste 208, Coon Rapids, MN 55433 Phone: 952-491-0730 | |
Mr. Joseph John Wittenberg, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11220 Crocus St Nw, Coon Rapids, MN 55433 Phone: 763-767-4702 | |
Richard Alan Wandersee, MSW LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11475 Robinson Dr Nw, Mail Stop 32600a, Coon Rapids, MN 55433 Phone: 763-754-4600 Fax: 763-754-4614 |