Robert H Gordon, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

487 Issued in MT

Practice address

1675 Talbot Road
Columbia Falls, MT 59912

Phone

(406) 892-3208

NPI assigned

Oct 11, 2019

Last updated

Oct 11, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Logan Health - WhitefishGroup PAC ID 9335033687, shared by 6 NPIs, 48 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Logan Health - Whitefish

  dba Logan Health Walk-In Care Base Lodge

  • General Practice Physician
  • Whitefish, MT
  • NPI 1356317432
  Medicare reassignment NPD
• Logan Health - Whitefish

  dba Logan Health - Whitefish Outpatient Laboratory

  • Critical Access Hospital
  • Whitefish, MT
  • NPI 1396710851
  Medicare reassignment NPD
• Logan Health - Whitefish

  dba Logan Health Rural Health Clinic- Eureka

  • Rural Health Clinic/Center
  • Eureka, MT
  • NPI 1336115849
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1609418680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3031",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599033031",
            "telephone_number": "406-752-3239",
            "fax_number": "406-752-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 TALBOT ROAD",
            "city": "COLUMBIA FALLS",
            "state": "MT",
            "postal_code": "59912",
            "telephone_number": "406-892-3208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "ROBERT",
        "middle_name": "H",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-11",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek Allan Gedlaman, DO
• Glacier Hope Homes, Inc.
• Glacier Peaks Mobile Physical Therapy LLC (Glacier Peaks Physical Therapy)
• Glacier Physical Therapy, LLC (Glacier Physical Therapy)
• Glacier RX, Inc (Good Medicine Pharmacy)
• Robert Taylor Hager, D.C.
• Laura Chrystine Hall, NP
• Willliam Russell Hartford, CBHPSS
• Cody Haugen, DPT
• Evon Heaser, DDS

• Clinical Social Worker in Columbia Falls, MT
• Providers in Columbia Falls, MT by specialty
• Clinical Social Worker in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.