Individual provider Active NPI

Elena A Gorrow, MSW, LCSW

  • Clinical Social Worker
  • Pleasanton, CA
National Provider Identifier
1285862672
Registry record updated Mar 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
76217 Issued in CA
Practice address
5820 Stoneridge Mall Rd Ste 106
Pleasanton, CA 94588-3275
Phone
(925) 854-2221
Fax
(925) 854-2766
NPI assigned
Jun 24, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 76217 CA Primary

Addresses

Primary practice location

5820 Stoneridge Mall Rd Ste 106
Pleasanton, CA 94588-3275

Mailing address

PO Box 2532
Dublin, CA 94568-0253
Phone (925) 854-2221

Other names 1

  • Elena Scott 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
I20190410000444 CA Practitioner - Clinical Social Worker 1355682816 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5820 Stoneridge Mall Rd
Suite 219
Pleasanton, CA 94588-3200
Phone (650) 839-3659

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
76217CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Elena Gorrow Licensed Clinical Social Worker, Inc. CurrentSince Jan 3, 2019 Accepting new patients

Locations

5820 Stoneridge Mall Rd
Ste 219
Pleasanton, CA 94588
Phone (510) 881-2540

2551 San Ramon Valley Blvd
Ste 246
San Ramon, CA 94583
Phone (925) 736-0800

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": "1245801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583020800000",
    "number": "1285862672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2532",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945680253",
            "telephone_number": "925-854-2221",
            "fax_number": "925-854-2766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 STONERIDGE MALL RD STE 106",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945883275",
            "telephone_number": "925-854-2221",
            "fax_number": "925-854-2766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORROW",
        "first_name": "ELENA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-24",
        "last_updated": "2020-03-01",
        "certification_date": "2020-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "76217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELENA",
            "last_name": "SCOTT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pleasanton, CA

Sources for this page

Verify at the official NPI Registry.