NPPES file of Aug 9, 2026

Kenric Glenn Gordon, LMSW

Social Worker · Chubbuck, ID

Kenric Glenn Gordon, LMSW is a social worker with a practice address in Chubbuck, Idaho, and NPI 1114540804, issued on May 28, 2020. Check the license (Idaho LMSW-39661, as entered in NPPES) with the Idaho board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1114540804
Name
Kenric Glenn Gordon
Credential
LMSW
Primary taxonomy
Social Worker 104100000X
License number
LMSW-39661 ID
Self-reported in NPPES; status is on the state search
Practice location
210 W Burnside Ave Ste A, Chubbuck, ID 83202
Phone
(208) 238-9000
Enumerated
May 28, 2020
Record last updated
May 28, 2020 (not updated in 6 years: call before relying on the address or phone)
Medicare enrollment
Enrolled (PECOS I20230718002486); may accept Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
Download card Updates feed

8 nearest social worker records → All 1,592 in Idaho → Look up another NPI →

Also registered at 210 W Burnside Ave Ste A

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Ruth Adamson, LMSW-380Mental Health Counselor1700354784
  2. James Bakaitis, LCPCProfessional Counselor1154492957
  3. Stephanie Brannon, LCPCProfessional Counselor1285149732
  4. Kayla Frandsen, LMSWClinical Social Worker1508575481
  5. Peyton Green, LMSWSocial Worker1922828631
  6. Ramona Medicine Horse, LMSWClinical Social Worker1194503508

Verify Kenric Glenn Gordon in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Idaho board licenses this profession
    Search for license LMSW-39661    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Idaho license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Mental Health SpecialistsPocatello, ID

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Kenric Glenn Gordon among 1,592 social worker records in Idaho

Kenric Glenn Gordon, LMSW is one of 1,592 social worker records with a practice address in Idaho. 4% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2020, is newer than 43% of them.

  • NPI issued2020 · 43% of these records are older, 52% newer
  • In a Medicare fileYes · 4% of these records are
  • In the CMS Doctors and Clinicians fileYes · 6% of these records are
  • Graduated2021 · median 2017 among the 100 with a school on file
  • Record last updated2020 · 42% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 104100000X and a Idaho practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

18 social worker records list a practice address in Chubbuck

They are 18 of the 264 NPPES records with a practice address in Chubbuck, and 1,592 social worker records in Idaho.

All 1,592 in Idaho → Every provider in Chubbuck → Social Worker nationwide →

The 8 social worker records with the nearest ZIP codes

  1. Garren Aubrey, LMSWPocatello, ID 832021841743564
  2. Staralee Baird, LMSWChubbuck, ID 832021013344696
  3. Daniel Knapp, LMSWChubbuck, ID 832021750718227
  4. Lisa Larsen, LMSWChubbuck, ID 832021689423121
  5. Jennifer Layton, LSWChubbuck, ID 832021306682901
  6. Janie Marley, LMSWChubbuck, ID 832021629450002
  7. Ashlynn Oborn, LMSWChubbuck, ID 832021083238877
  8. Amanda Siems, L.S.WChubbuck, ID 832021689871089

Common questions

What is Kenric Glenn Gordon, LMSW's NPI number?

Kenric Glenn Gordon, LMSW's National Provider Identifier (NPI) is 1114540804, issued on May 28, 2020. An NPI identifies a provider in billing; it is not a license.

Where is Kenric Glenn Gordon, LMSW located?

The NPPES record lists a practice address at 210 W Burnside Ave Ste A, Chubbuck, ID, 83202. Phone: (208) 238-9000. Providers update this record themselves, so call before visiting.

How can I verify Kenric Glenn Gordon, LMSW's license?

NPPES lists Idaho license number LMSW-39661, as entered by the provider. Search the Idaho board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.