Active NPI
Kathleen Maria Gorski, LLMSW
- Clinical Social Worker
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801102178
- Practice address
- 1700 Waterman St
Detroit, MI 48209-2022 - Phone
- (313) 841-8900
- NPI assigned
- Feb 21, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801102178 | MI | Primary |
Addresses
Primary practice location
1700 Waterman St
Detroit, MI 48209-2022
Mailing address
1700 Waterman St
Detroit, MI 48209-2022
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801102178 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physician Group | Current | Accepting new patients | |
| Mynd Thera PLLC | Current | Accepting new patients | |
| University Physician Group | Social Worker | Past | Accepting new patients |
Locations
400 Mack Ave
#2W
Detroit, MI 48201
3901 Chrysler Dr
Ste 3B
Detroit, MI 48201
Phone (313) 577-1396
4100 John R St
Detroit, MI 48201
Phone (313) 576-8530
19815 Mack Ave
Ste B
Grosse Pointe Woods, MI 48236
Phone (313) 516-7143
1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200
Organizations & group practices 3
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.
-
- Psychiatry Physician
- Grosse Pointe Woods, MI
- NPI 1255146965
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1447299797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519257600000",
"number": "1639670185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 WATERMAN ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482092022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 WATERMAN ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482092022",
"telephone_number": "313-841-8900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORSKI",
"first_name": "KATHLEEN",
"middle_name": "MARIA",
"credential": "LLMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-21",
"last_updated": "2018-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801102178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.