Active NPI
Bret Kinsey Gorden, LCSW
- Social Worker
- San Francisco, CA
National Provider Identifier
1013380302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LCSW64019
- Practice address
- 2425 Geary Blvd
Coordination of Care Services Department
San Francisco, CA 94115 - Phone
- (415) 833-9934
- NPI assigned
- Nov 9, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LCSW64019 | CA | Primary |
Addresses
Primary practice location
2425 Geary Blvd
Coordination of Care Services Department
San Francisco, CA 94115
Mailing address
2425 Geary Blvd
Coordination of Care Services Department
San Francisco, CA 94115-3358
Phone (415) 833-9934
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW64019 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447027200000",
"number": "1013380302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2425 GEARY BLVD",
"address_2": "COORDINATION OF CARE SERVICES DEPARTMENT",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941153358",
"telephone_number": "415-833-9934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2425 GEARY BLVD",
"address_2": "COORDINATION OF CARE SERVICES DEPARTMENT",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94115",
"telephone_number": "415-833-9934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDEN",
"first_name": "BRET",
"middle_name": "KINSEY",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-11-09",
"last_updated": "2015-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "LCSW64019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.