Nicholas Joseph Gori, CAC-AD, LSWA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

AC1033 Issued in MD

Practice address

Baltimore County Bureau of Substance Abuse
6401 York Road, Third Floor
Baltimore, MD 21212

Phone

(410) 887-3828

NPI assigned

Feb 28, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700913381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210140207",
            "telephone_number": "410-887-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BALTIMORE COUNTY BUREAU OF SUBSTANCE ABUSE",
            "address_2": "6401 YORK ROAD, THIRD FLOOR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21212",
            "telephone_number": "410-887-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORI",
        "first_name": "NICHOLAS",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "CAC-AD, LSWA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "AC1033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David A. Gorelick, M.D.
• Ivan Z Gorelik, MD
• Lea Goren
• Latonya Gorham, LMSW
• Pamela Gorham, MA CCC-SLP
• Haley Medlen Gorie, MD
• Rahul Gorijavolu
• Emily Hoover-Hamlin Gorman, MD
• Freddy Gorman, ADT
• Kodie Gorman

• Addiction (Substance Use Disorder) Counselor in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Addiction (Substance Use Disorder) Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.