Tracy Gordon, LICSW
NPI 1649430695ActiveIndividual· Social Worker, Clinical· Saint Cloud, MN
Social Worker, Clinical (LICSW) with Processus P.A., practicing in Saint Cloud, Minnesota. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1649430695 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LICSW |
| Sole proprietor | Yes |
| NPI issued | Jun 12, 2008 |
| Last updated in NPPES | Jan 29, 2025 |
| Certified by provider | Jan 29, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 19077 | MN |
| Social Worker | 104100000X | 19077 | 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 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 | 2008 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Medical group
- Processus P.A.Waite Park, MN · 9 clinicians
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