TRACY GORDON (NPI# 1649430695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649430695 |
| Entity Type | Individual |
| Full Name | TRACY GORDON |
| Credential | LGSW |
| Practice Address |
4801 Veterans Dr Saint Cloud MN 56303-2015 |
| Practice Telephone | 3202521670 |
| Mailing Telephone | 3202521670 |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2009-04-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 19077 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689064529 | Tracy Lee Gordon | Home Health Aide | 333 E. College St, Alliance, OH 44601 | 2015-01-30 |
| 1740688241 | Tracy L Gordon | Contractor | 3316 Woodside Dr, Fairfield, OH 45014-5023 | 2014-12-15 |
| 1942204763 | Tracy A Gordon | Anesthesiology | 1205 S Telshor Blvd, Las Cruces, NM 88011-4748 | 2005-06-09 |
| 1225305519 | Tracy Marie Gordon | Registered Nurse | 3601 S 6th Ave, Tucson, AZ 85723-0001 | 2011-11-30 |
| 1720102155 | Tracy Gordon | Social Worker | 25050 Avenue Kearny, Suite 201, Valencia, CA 91355-1255 | 2007-03-19 |
| Street Address |
4801 VETERANS DR |
| City | SAINT CLOUD |
| State | MN |
| Zip Code | 56303-2015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780675629 | Michelle P Pittman-leyendecker | Nurse Practitioner | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2005-10-31 |
| 1255939773 | Samantha Stager | Registered Nurse | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2020-10-16 |
| 1447866587 | Alyssa L Pumford | Dietitian, Registered | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2020-09-22 |
| 1427663905 | John David Estep | Social Worker | 4801 Veterans Dr, B28 Rm 155, Saint Cloud, MN 56303-2099 | 2020-09-11 |
| 1962012823 | Kelly A Pittman | Social Worker | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2020-08-05 |
| 1356951297 | Alyssa Anne Berscheid | Registered Nurse | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2020-08-05 |
| 1790395861 | Anna Elisabeth Lee | Dietitian, Registered | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2020-08-04 |
| 1932718004 | Bradee Schiefelbein | Audiologist | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2020-07-24 |
| 1346865532 | Kali Rae Pichotta | Nurse Practitioner | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2020-06-12 |
| 1174145783 | Renae Elizabeth Lockerby | Social Worker | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2020-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800463 | Daniel P Lahr | Radiologic Technologist | St Cloud Va Health Care System, 4801 Veterans Drive, St Cloud, MN 56303 | 2020-08-07 |
| 1730798398 | County of Stearns | Case Management | 705 Courthouse Square, St Cloud, MN 56303 | 2020-07-29 |
| 1669007126 | Aflah Transportation LLC | Non-emergency Medical Transport (VAN) | 3316 3rd Street North, Suite 129, Saint Cloud, MN 56303 | 2020-03-05 |
| 1609420942 | Stephanie Lynne Metzger | Nurse Practitioner | Centracare Clinic Riverc Ampus/nephrology, 1200 Sixth Ave North, St. Cloud, MN 56303 | 2019-07-25 |
| 1306406947 | Willow Tree Acupuncture LLC | Acupuncturist | 203 Cooper Ave N Suite 160, St. Cloud, MN 56303 | 2019-06-17 |
| 1821553520 | Alan Melvin Hoeper | Nurse Anesthetist, Certified Registered | Centracare Clinic Anesthesiology, 3701 12th St N, Suite 202, St. Cloud, MN 56303 | 2019-02-06 |
| 1437644465 | Brianna Larissa Justin | Speech-Language Pathologist | St. Cloud Hospital, 1406 6th Avenue N, St. Cloud, MN 56303 | 2018-06-22 |
| 1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
| 1639682925 | Dereje Beyene | Respiratory Therapist, Certified | 1406 15th Street North, Saint Cloud, MN 56303 | 2017-11-09 |
| 1740792761 | Lisa Ann Horner | Nurse Practitioner | 1555 Northway Drive #110, Centracare Complex Care Clinic, St Cloud, MN 56303 | 2017-10-31 |
| Find all providers in zip 56303 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154988558 | Annette Mason | Social Worker | 4801 Veterans Dr Bldg 2, Saint Cloud, MN 56303-2099 | 2019-05-22 |
| 1215494802 | Anna Rose Schutz | Social Worker | 4801 Veterans Dr # B28r46, Saint Cloud, MN 56303-2015 | 2019-03-01 |
| 1275098857 | Garat Ibrahim | Social Worker | 337 37th Ave N, Saint Cloud, MN 56303-3046 | 2019-02-07 |
| 1609366426 | Solimar Santos | Social Worker | 2334 Seven Oaks Dr, Saint Cloud, FL 34772-7823 | 2018-05-16 |
| 1093218604 | Luz M Acobe | Social Worker | 1036 Twisted Branch Ln, Saint Cloud, FL 34771-8915 | 2018-03-10 |
| 1144757840 | David Hernandez | Social Worker | 519 Mississippi Ave, Saint Cloud, FL 34769-3051 | 2017-05-12 |
| 1285095984 | Yazmin Serrano | Social Worker | 829 Dori Ct, Saint Cloud, FL 34772-5400 | 2016-03-09 |
| 1487023545 | Virtudes Puello | Social Worker | 2323 Sweetwater Blvd, Saint Cloud, FL 34772-8605 | 2015-09-18 |
| 1013398635 | Cynthia Rivera | Social Worker | 1010 Oregon Ave, Saint Cloud, FL 34769-3849 | 2015-06-10 |
| 1144598806 | Jacqueline L Sufka | Social Worker | 902 7th Ave N, Saint Cloud, MN 56303-2906 | 2011-12-09 |
| Find all providers in SAINT CLOUD | ||||
| City | SAINT CLOUD |
| Zip Code | 56303 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.