Active NPI
Danielle McCarty Gorman
- Clinical Social Worker
- Fern Park, FL
National Provider Identifier
1689197311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW16800
- Practice address
- 2908 Lakeview Dr Ste 100
Fern Park, FL 32730-2017 - Phone
- (502) 415-8735
- NPI assigned
- Jul 25, 2017
- Last updated
- Aug 3, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 254516 | KY | |
| Social Worker | 104100000X | 252715 | KY | |
| Clinical Social Worker | 1041C0700X | SW16800 | FL | Primary |
Addresses
Primary practice location
2908 Lakeview Dr Ste 100
Fern Park, FL 32730-2017
Mailing address
2908 Lakeview Dr Ste 100
Fern Park, FL 32730-2017
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 252715 | KY | MD | Social Worker |
| SW16800 | FL | MD | Clinical Social Worker |
| 254516 | KY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596412800000",
"number": "1689197311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2908 LAKEVIEW DR STE 100",
"city": "FERN PARK",
"state": "FL",
"postal_code": "327302017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2908 LAKEVIEW DR STE 100",
"city": "FERN PARK",
"state": "FL",
"postal_code": "327302017",
"telephone_number": "502-415-8735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORMAN",
"first_name": "DANIELLE",
"middle_name": "MCCARTY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-25",
"last_updated": "2020-08-03",
"certification_date": "2020-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "254516",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KY",
"license": "252715",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW16800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fern Park, FL
- Marie Samantha Florestal, NP
- Candace Fouquet, LMFT, LMHC
- Rocky A Francis, RPH
- Christie Garcia, RN
- Karla Gonzalez, ATC, LAT
- Tasha Norfleet Greene
- Venise B. Grice, MA
- Kevin Alfonso Gutierrez
- Robin Lynn Hansen, PHARMD
- Health Diagnostics of Fort Lauderdale LLC (Stand-Up MRI and 3T Imaging of Casselberry)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.