ANNE M GORDON (NPI# 1265594972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265594972 |
Entity Type | Individual |
Full Name | ANNE M GORDON |
Credential | LCSW, LAC |
Practice Address |
101 E Broadway St Ste 511 Missoula MT 59802-4510 |
Mailing Address |
2805 Gilbert Ave Missoula MT 59802-3201 |
Practice Telephone | 4063706251 |
Mailing Telephone | 4065493239 |
Enumeration Date | 2006-12-16 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
820 | MT | Behavioral Health & Social Service Providers |
X | 1041C0700X |
Social Worker Specialization: Clinical |
441 | MT | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MT | 0026364 | 05 | |
MT | BLUE CROSS BLUE SHIELD | 71465 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972151801 | Anne Elizabeth Gordon | Acupuncturist | 607 Market St, Kirkland, WA 98033-5404 | 2019-09-04 |
1376683607 | Anne Carol Gordon | Physical Therapist | 1460 N Pinal Ave, Casa Grande, AZ 85222-3337 | 2007-02-07 |
1669564753 | Anne M Gordon | Pediatrics | 110 Marter Ave Ste 505, Moorestown, NJ 08057 | 2006-09-28 |
1407101389 | Anne Gordon | Specialist | 1050 Forest Hill Rd, Staten Island, NY 10314-6356 | 2012-07-17 |
1285866681 | Anne Marie Gordon | Nurse Practitioner | 116 N Maple St, Cherryvale, KS 67335-1729 | 2009-08-18 |
1790816965 | Anne Gordon | Marriage & Family Therapist | 840 N Avenue 66, Los Angeles, CA 90042-1508 | 2007-03-08 |
1366461006 | Anne I. Gordon | Chiropractor | 30 S Michigan Ave, Ste 400, Chicago, IL 60603-3211 | 2006-07-19 |
1962497834 | Anne M Gordon | Social Worker | 175 Memorial Hwy, Ste Ll4, New Rochelle, NY 10801-5635 | 2005-09-15 |
Street Address |
101 E BROADWAY ST STE 511 |
City | MISSOULA |
State | MT |
Zip Code | 59802-4510 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154945921 | Montana Endoscopy Center, Pllc | Clinic/Center | 1930 W Broadway, Ste B, Missoula, MT 59802 | 2020-06-08 |
1194364091 | Tommie Lynn Perusich | Nurse Practitioner | 1120 Cedar St., Missoula, MT 59802 | 2019-12-26 |
1386122752 | The Hope Health Alliance, Inc. | Case Management | 314 White House Ln, Missoula, MT 59802 | 2018-07-30 |
1881181444 | Carol Anne Lesser | Massage Therapist | 1918 Birch St, Missoula, MT 59802 | 2018-04-19 |
1528587581 | Missoula Aids Fund, Inc. | Clinic/Center | 1500 W. Broadway Suite A, Missoula, MT 59802 | 2017-09-11 |
1942740667 | Gabrielle Shulman | Counselor | 415 N Higgins Ave Ste 14, Missoula, MT 59802 | 2017-02-28 |
1053798736 | Endurance Physio | Clinic/Center | 214 E. Main St, Missoula, MT 59802 | 2015-05-01 |
1720481971 | Anna Golding | Counselor | 1325 Wyoming Street, Missoula, MONTANA 59802 | 2014-10-02 |
1003255803 | Jennifer Dawn Danielson | Speech-Language Pathologist | 2408 Duncan Drive, Missoula, MT 59802 | 2013-06-14 |
1437595725 | Partnership Health Center Inc | Clinic/Center | 1150 Sherwood St, Missoula, MT 59802 | 2013-05-14 |
Find all providers in zip 59802 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922667062 | Patrick Ryan | Counselor | 1335 Wyoming St, Missoula, MT 59801-1725 | 2019-06-12 |
1497237648 | Leigh Ann Christian Lcsw, Lac Pllc | Counselor | 127 N Higgins Ave Ste 307d, Missoula, MT 59802-4486 | 2018-09-04 |
1407346596 | Stepping Stones Counseling, Pllc | Counselor | 202 Brooks St Ste 300, Missoula, MT 59801 | 2018-05-14 |
1831686088 | Darren Baird Ashby | Counselor | 202 Brooks St, Missoula, MT 59801-4019 | 2018-04-13 |
1508380569 | Lowell Owen Wavrick | Counselor | 4998 Sonoma St, Missoula, MT 59808-8694 | 2017-08-01 |
1649720319 | Andrea J Foran | Counselor | 700 South Ave W Ste B, Missoula, MT 59801-8011 | 2016-10-06 |
1922557123 | Candace Mirea | Counselor | 2809 Connery Way Ste B, Missoula, MT 59808-1955 | 2016-09-28 |
1316312150 | Greta Jernberg | Counselor | 800 Kensington Ave Ste Ll2, Missoula, MT 59801-5670 | 2015-12-04 |
1851766745 | Kali Neumeister | Counselor | 136 E Broadway St Ste 16, Missoula, MT 59802-4505 | 2015-12-03 |
1124418298 | Ronald Emmanuel Barker | Counselor | 1119 W Kent Ave Ste C, Missoula, MT 59801-6633 | 2015-01-28 |
Find all providers in MISSOULA |
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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.