SearchIdahoClinical Social Worker

Wade Gordon, LCSW

NPI 1376740134 · on the registry since 2007

Practice

Address
310 N 2nd E
Suite 128
Rexburg, ID 83440
Phone
(208) 356-5675
Fax
(208) 356-5675
Organisation at this address
Steps Inc.
South Fork Services, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
Clinical Social Worker
1041C0700X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho