Laine Maren Gordon, LCSW
Social Worker, Clinical in Grand Forks Afb, ND. Individual provider (NPI-1).
NPI number1982181749
StatusActive
Last updated in NPPESDec 5, 2025
Details
- NPI
- 1982181749
- Entity type
- Individual (NPI-1)
- Name
- Ms. Laine Maren Gordon
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 25, 2018
- Certification date
- Dec 5, 2025
- Last updated
- Dec 5, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | CSW.09925184 | CO | Yes |
Practice location
1599 Jones StGrand Forks Afb, ND 58205-6306
Phone 701-747-6463
Mailing address
4757 Curt CirGrand Forks, ND 58201-8030
Phone 701-741-2809
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