What is Wade Gordon's NPI number?

Wade Gordon's National Provider Identifier (NPI) is 1376740134, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Wade Gordon's specialty?

Wade Gordon is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).

Where is Wade Gordon located?

Wade Gordon's practice location on file with NPPES is 310 N 2nd E, Rexburg, ID 83440-1600.

What is Wade Gordon's phone number?

The practice phone number listed in the NPPES registry for Wade Gordon is (208) 356-5675.

Is Wade Gordon's NPI active?

Yes — Wade Gordon's NPI (1376740134) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Wade Gordon, LCSW

NPI 1376740134 · Clinical Social Worker · Rexburg, ID

Wade Gordon, LCSW is a Clinical Social Worker provider in Rexburg, ID (NPI 1376740134).

Provider details

NPI number: 1376740134
Entity type: Individual
Primary specialty: Clinical Social WorkerBehavioral Health & Social Service Providers
Credential: LCSW
Sex: Male
Sole proprietor: No
License: LCSW-27205 (ID)

Specialties & taxonomies

Clinical Social WorkerPrimary1041C0700XLicense LCSW-27205 (ID)
Behavioral Health & Social Service Providers

Profile Score

Detailed profile(89/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

310 N 2nd E

Suite 128

Rexburg, ID 83440-1600

Phone: (208) 356-5675

Fax: (208) 356-5675

Street-level locationGet directions

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Mailing address