Individual provider Active NPI

Natalie Gorbunoff Thome, MSW, LCSW

  • Clinical Social Worker
  • Manhattan Beach, CA
National Provider Identifier
1215257589
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW59614 Issued in CA
Practice address
806 Manhattan Beach Blvd
Unit 207
Manhattan Beach, CA 90266
Phone
(510) 701-4441
NPI assigned
Jun 9, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X LCSW59614 CA Primary

Addresses

Primary practice location

806 Manhattan Beach Blvd
Unit 207
Manhattan Beach, CA 90266

Mailing address

407 N. Pacific Coast Highway
Unit 216
Redondo Beach, CA 90277
Phone (510) 701-4441

Other names 1

  • Natalie Christine Gorbunoff Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250507000742 CA Practitioner - Clinical Social Worker 3173040722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

806 Manhattan Beach Blvd
Suite 207
Manhattan Beach, CA 90266-4961
Phone (510) 701-4441

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW59614CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Natalie Thome, Licensed Clinical Social Worker, Inc. Clinical CurrentSince Mar 25, 2025 Accepting new patients

Locations

806 Manhattan Beach Blvd
Ste 207
Manhattan Beach, CA 90266
Phone (310) 376-3388

407 N Pacific Coast Hwy
Unit 216
Redondo Beach, CA 90277

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1215257589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 N. PACIFIC COAST HIGHWAY",
            "address_2": "UNIT 216",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "90277",
            "telephone_number": "510-701-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 MANHATTAN BEACH BLVD",
            "address_2": "UNIT 207",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "90266",
            "telephone_number": "510-701-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOME",
        "first_name": "NATALIE",
        "middle_name": "GORBUNOFF",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-09",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW59614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATALIE",
            "last_name": "GORBUNOFF",
            "middle_name": "CHRISTINE",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Manhattan Beach, CA

Sources for this page

Verify at the official NPI Registry.