David Paul Gordon, MSW
NPI 1619197993ActiveIndividual· Psychoanalyst· Minneapolis, MN
Psychoanalyst (MSW) in Minneapolis, Minnesota, licensed in MN, with an NPI issued in April 2007. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1619197993 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSW |
| Sole proprietor | Yes |
| NPI issued | Apr 27, 2007 |
| Last updated in NPPES | Feb 20, 2024 |
| Certified by provider | Feb 20, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychoanalyst Primary | 102L00000X | 45-0463081 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (MN) |
|---|
Education and affiliations
| Graduation year | 1974 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Other Psychoanalyst providers in Minneapolis
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