Kerena Lynn Gordhamer

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

20934 Issued in CA

Practice address

150 Felker St
Santa Cruz, CA 95060-2849

Phone

(831) 566-3495

NPI assigned

Dec 5, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Through Insight

  • Clinical Social Worker
  • Santa Cruz, CA
  • NPI 1104012210
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245398783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5018 WINKLE AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 FELKER ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950602849",
            "telephone_number": "831-566-3495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDHAMER",
        "first_name": "KERENA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "20934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Gonzalez
• Vivianne Gonzalez
• Charles M Goodwin, D.C.,L.AC
• John Goodwin
• Jeffrey Goodyear
• C N Gordon
• Deidre Gordon
• Jessica Gore, PTA
• Julie Gorshe, PA-C
• Jennifer Ann Gosk, LMFT

• Clinical Social Worker in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.