P Praxis·MD
● Active Type 1 · Individual

Wade Gordon, LCSW

Social Worker·Rexburg, ID· NPI 1376740134 · Enumerated 2007 · 18 years on NPI
Gordon is 1 of 37 social worker providers in Rexburg and 1 of 2000 in Idaho.
NPI age
18 years
Enumerated 2007-06-27
Primary specialty
Social Worker
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 2000 active social worker providers in Idaho.

NPI age
18 years
↑ 8 yr above median (10 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
29% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-06Enumerated in NPPES
2007 2026

Where they practice

Practice location
310 N 2nd E, Suite 128
Rexburg, ID 834401600
📞 2083565675fax 2083565675
Mailing address
310 N 2nd E, Suite 128
Rexburg, ID 834401600
📞 2083565675fax 2083565675

Specialties

  • Social Worker Primary
    A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be...
    ID license #LCSW-27205 taxonomy 1041C0700X

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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