Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Kenric Glenn Gordon, LMSW
Social Worker in Chubbuck, ID · enumerated 2020.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1114540804
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Registry record
Entity type Individual (Type 1)
Name Kenric Glenn Gordon
Credential LMSW
Sex Male
Practice address 210 W Burnside Ave Ste A, Chubbuck, ID, 83202
Phone (208) 238-9000
Enumeration date May 28, 2020
Last updated in NPPES May 28, 2020
Taxonomy & licenses
104100000X Social Worker Behavioral Health & Social Service Providers · License LMSW-39661 (ID) Primary
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
What is the NPI number for Kenric Gordon?
The National Provider Identifier (NPI) for Kenric Gordon is 1114540804, a Type 1 (individual) record in the CMS NPPES registry.
Where does Kenric Gordon practice?
The practice location on file with NPPES is in Chubbuck, ID. Providers can have multiple locations; NPPES lists the primary practice address.
Other providers at this practice address
Browse all → James Bakaitis Professional Counselor · Chubbuck, ID NPI 1154492957 Donna Summers Mental Health Counselor · Chubbuck, ID NPI 1851694657 Garren Aubrey Social Worker · Pocatello, ID NPI 1841743564 Thomas Putnam Mental Health Counselor · Chubbuck, ID NPI 1598279366 Stephanie Brannon Professional Counselor · Chubbuck, ID NPI 1285149732 Ruth Adamson Mental Health Counselor · Chubbuck, ID NPI 1700354784 Erin Sullivan Baker Mental Health Counselor · Chubbuck, ID NPI 1780158634 Saeward O'Neill Mental Health Counselor · Pocatello, ID NPI 1275099251
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-05-28.