Active NPI
George E. Gorman, LICSW
- Addiction (Substance Use Disorder) Counselor
- Beverly, MA
National Provider Identifier
1093717183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 104619
- Practice address
- 8 Thorndike St
Beverly, MA 01915-5858 - Phone
- (978) 462-2890
- Fax
- (978) 462-2890
- NPI assigned
- Aug 10, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 104619 | MA | Primary |
Addresses
Primary practice location
8 Thorndike St
Beverly, MA 01915-5858
Mailing address
143 State St
Newburyport, MA 01950-6621
Phone (978) 462-2890
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051018001195 | MA | Practitioner - Clinical Social Worker | 4789600826 | Practice locations: Beverly, MA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1093717183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "143 STATE ST",
"city": "NEWBURYPORT",
"state": "MA",
"postal_code": "019506621",
"telephone_number": "978-462-2890",
"fax_number": "978-462-2890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 THORNDIKE ST",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019155858",
"telephone_number": "978-462-2890",
"fax_number": "978-462-2890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORMAN",
"first_name": "GEORGE",
"middle_name": "E.",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MA",
"license": "104619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beverly, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.