Mr Colt Gordon, LCSW 110973 - Clinical Social Worker in Cody, WY

Mr Colt Gordon, LCSW 110973 is a Social Worker - Clinical based in Cody, Wyoming. Mr Colt Gordon is licensed to practice in California (license number 110973) and his current practice location is 627 15th St, Cody, Wyoming. He can be reached at his office (for appointments etc.) via phone at (619) 453-5063.

NPI number for Mr Colt Gordon is 1538762471 and his current mailing address is 627 15th St, Cody, Wyoming. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1538762471.

Contact Information

Mr Colt Gordon, LCSW 110973
627 15th St,
Cody, WY 82414-3109
(619) 453-5063
Not Available



Healthcare Provider's Profile

Full NameMr Colt Gordon
GenderMale
SpecialitySocial Worker - Clinical
Location627 15th St, Cody, Wyoming
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1538762471
  • Provider Enumeration Date: 11/20/2020
  • Last Update Date: 01/31/2024

Medical Identifiers

Medical identifiers for Mr Colt Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538762471NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 1577 (Wyoming)Secondary
1041C0700XSocial Worker - Clinical 110973 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Colt Gordon is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice 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

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› Verified 7 days ago


Social Worker in Cody, WY

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    

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