Active NPI
Natalie Gorbunoff Thome, MSW, LCSW
- Clinical Social Worker
- Manhattan Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW59614
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW59614 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Natalie Thome, Licensed Clinical Social Worker, Inc. | Clinical | Current | 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.
-
- Clinical Social Worker
- Manhattan Beach, CA
- NPI 1932981164
CA, Clinical
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"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.