Gwen Gormley, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW020491 Issued in PA

Practice address

2817 W Glenwood Ave
Philadelphia, PA 19121-1810

Phone

(845) 596-7054

NPI assigned

Feb 29, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1456704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1063872315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 W HILLCREST AVE",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190831433",
            "telephone_number": "845-596-7054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 W GLENWOOD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191211810",
            "telephone_number": "845-596-7054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Harriman Dr",
            "address_purpose": "LOCATION",
            "city": "Goshen",
            "state": "NY",
            "postal_code": "109242410",
            "country_code": "US",
            "telephone_number": "845-596-7054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3502 Scotts Ln Bldg 711",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191291561",
            "country_code": "US",
            "telephone_number": "845-596-7054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORMLEY",
        "first_name": "GWEN",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-29",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "094951-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW020491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Gorman, MD
• Nina Gorman, M.A.
• Robert C Gorman, MD
• Wendy R Gorman, MS, LMFT
• Emmett Rose Gormley, LCSW
• Lisa Gormley, CRNA
• Michelle L Gormley, DPT
• Joseph M Gornik, CRNA
• Paulina Gorodin, MD
• Lilia Gorovits, MD

• Clinical Social Worker in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.