Individual provider Active NPI

Judith Gorman, LCSW,LCDCS

  • Addiction (Substance Use Disorder) Counselor
  • Cranston, RI
National Provider Identifier
1235263484
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LADC I-1072 Issued in MA
Practice address
80 East St
Cranston, RI 02920-4421
Phone
(401) 463-6001
Fax
(401) 463-8572
NPI assigned
Mar 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CDS00049 RI
Addiction (Substance Use Disorder) Counselor 101YA0400X LADC I-1072 MA Primary
Clinical Social Worker 1041C0700X CSW00684 RI

Addresses

Primary practice location

80 East St
Cranston, RI 02920-4421

Mailing address

80 East St
Cranston, RI 02920-4421
Phone (401) 463-6001

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LADC I-1072MAMDAddiction (Substance Use Disorder) Counselor
CDS00049RIMDAddiction (Substance Use Disorder) Counselor
CSW00684RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sstar of Rhode Island, Inc. Past Accepting new patients

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": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1235263484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 EAST ST",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029204421",
            "telephone_number": "401-463-6001",
            "fax_number": "401-463-8572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 EAST ST",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029204421",
            "telephone_number": "401-463-6001",
            "fax_number": "401-463-8572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORMAN",
        "first_name": "JUDITH",
        "name_prefix": "Ms.",
        "credential": "LCSW,LCDCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "RI",
            "license": "CDS00049",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "LADC I-1072",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "CSW00684",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.