Organization Active NPI

Elena Gorrow Licensed Clinical Social Worker, Inc.

  • Mental Health Counselor
  • San Ramon, CA
National Provider Identifier
1427529288
Registry record updated Dec 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ELENA GORROW LICENSED CLINICAL SOCIAL WORKER, INC.
Practice address
2551 San Ramon Valley Blvd Ste 246
San Ramon, CA 94583-1664
Phone
(925) 854-2221
NPI assigned
Dec 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2018

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

Authorized official

Name
Elena Gorrow, LCSWNPI 1285862672
Title
Therapist
Phone
(925) 854-2221

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2551 San Ramon Valley Blvd Ste 246
San Ramon, CA 94583-1664

Mailing address

2551 San Ramon Valley Blvd Ste 246
San Ramon, CA 94583-1664
Phone (925) 854-2221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190410000344 CA Part B Supplier - Clinic/Group Practice 0446591903 Receives reassigned benefits from 1 practitioner
Practice locations: Pleasanton, CA

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1543968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543968000000",
    "number": "1427529288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2551 SAN RAMON VALLEY BLVD STE 246",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831664",
            "telephone_number": "925-854-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2551 SAN RAMON VALLEY BLVD STE 246",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831664",
            "telephone_number": "925-854-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELENA GORROW LICENSED CLINICAL SOCIAL WORKER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-05",
        "last_updated": "2018-12-05",
        "status": "A",
        "authorized_official_last_name": "GORROW",
        "authorized_official_first_name": "ELENA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "925-854-2221",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.