| Mr Colt Gordon, LCSW 110973 | |
|
627 15th St, Cody, WY 82414-3109 | |
| (619) 453-5063 | |
| Not Available |
| Full Name | Mr Colt Gordon |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 627 15th St, Cody, Wyoming |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538762471 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1577 (Wyoming) | Secondary |
| 1041C0700X | Social Worker - Clinical | 110973 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Colt Gordon, LCSW 110973 627 15th St, Cody, WY 82414-3109 Ph: (619) 453-5063 | Mr Colt Gordon, LCSW 110973 627 15th St, Cody, WY 82414-3109 Ph: (619) 453-5063 |
Ms. Marlynn Annette Riker, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2538 Big Horn Ave, Cody, WY 82414 Phone: 307-587-2197 Fax: 307-527-6218 | |
Amanda Hamilton, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2538 Big Horn Ave, Cody, WY 82414 Phone: 307-587-2197 | |
Demetria Bales, MSW, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 702 Platinum Ave, Cody, WY 82414 Phone: 307-213-9954 Fax: 307-275-9843 | |
Lachelle M Rosenbaum, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2538 Big Horn Ave, Cody, WY 82414 Phone: 307-587-2197 Fax: 307-527-6218 | |
Kristin Alcala, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 424 Yellowstone Ave Ste 220, Cody, WY 82414 Phone: 307-578-2526 | |
Dean Furukawa, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1211 Rumsey Ave, Cody, WY 82414 Phone: 406-670-2960 | |
Neisha Potter, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1120 Beck Ave, Cody, WY 82414 Phone: 307-578-7601 |