Individual provider Active NPI

Lorraine A. Gorlick, PH.D.,LCSW

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1306159124
Registry record updated Jul 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS5085 Issued in CA
Practice address
1999 Avenue of the Stars
Suite 2320
Los Angeles, CA 90067-6022
Phone
(310) 552-3999
Fax
(310) 552-3641
NPI assigned
Jul 21, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2010

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 LCS5085 CA Primary

Addresses

Primary practice location

1999 Avenue of the Stars
Suite 2320
Los Angeles, CA 90067-6022

Mailing address

1999 Avenue of the Stars
Suite 2320
Los Angeles, CA 90067-6022
Phone (310) 552-3999

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LCS5085CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279670400000",
    "number": "1306159124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1999 AVENUE OF THE STARS",
            "address_2": "SUITE 2320",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900676022",
            "telephone_number": "310-552-3999",
            "fax_number": "310-552-3641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 AVENUE OF THE STARS",
            "address_2": "SUITE 2320",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900676022",
            "telephone_number": "310-552-3999",
            "fax_number": "310-552-3641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORLICK",
        "first_name": "LORRAINE",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "PH.D.,LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-21",
        "last_updated": "2010-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS5085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; 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.