ANNE M GORDON LCSW LAC NPI 1265594972

NPI Information

NPI: 1265594972
Provider Name: ANNE M GORDON, LCSW, LAC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
101 E BROADWAY ST STE 511
MISSOULA, MT
ZIP 59802
Phone: (406) 370-6251
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Anne M Gordon, LCSW, LAC is an addiction (substance use disorder) counselor in Missoula, MT. Anne M Gordon, LCSW, LAC NPI is 1265594972. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

101 E BROADWAY ST STE 511
MISSOULA, MT
ZIP 59802-510
Phone: (406) 370-6251

The enumeration date for this NPI number is 12/16/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	820	MONTANA	Yes
2	1041C0700X	Social Worker	Clinical	441	MONTANA	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	71465	OTHER	MONTANA	BLUE CROSS BLUE SHIELD
2	0026364	MEDICAID	MONTANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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