Alexander James Goreham, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

150015232 Issued in IL

Practice address

3815 Highland Ave
Cac - Emergency Department
Downers Grove, IL 60515-1500

Phone

(630) 275-6107

NPI assigned

Jun 5, 2015

Last updated

Nov 29, 2016By the provider in NPPES

Sex

Male

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

Enrolled in IL

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

Specialty

Clinical Social Worker

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Goreham IncorporatedGroup PAC ID 8820435084, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Goreham Incorporated

  dba Life Redefined Clinical Counseling

  • Social Worker
  • Wheaton, IL
  • NPI 1346816402
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1659751519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 HIGHLAND AVE",
            "address_2": "CAC - EMERGENCY DEPARTMENT",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151500",
            "telephone_number": "847-946-0169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 HIGHLAND AVE",
            "address_2": "CAC - EMERGENCY DEPARTMENT",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151500",
            "telephone_number": "630-275-6107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOREHAM",
        "first_name": "ALEXANDER",
        "middle_name": "JAMES",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-05",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150015232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Good Samaritan Hospital
• Kortnee Goodalis, RBT
• Eric Goodman, RN, CWOCN, CFCN
• Elizabeth Eva Gordon, PT, DPT
• Shina Keaonis Gordon, FNP
• Gabriella Gorin
• Cornelius Francis Gorman III, LCSW
• Jennifer M Gorman, MS, SSP
• Rhonda Goshay
• Kristen Marie Grabstanowicz, RDH

• Social Worker in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.