Individual provider Active NPI

Jeffrey Paul Gorski, LCSW, MFT

  • Clinical Social Worker
  • Oakhurst, CA
National Provider Identifier
1710909601
Registry record updated Sep 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 6876 Issued in CA
Practice address
46485 River View Dr
Oakhurst, CA 93644-9028
Phone
(559) 683-5189
Fax
(559) 683-5189
NPI assigned
Jul 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS 6876 CA Primary
Marriage & Family Therapist 106H00000X MFC 14649 CA

Addresses

Primary practice location

46485 River View Dr
Oakhurst, CA 93644-9028

Mailing address

46485 River View Dr
Oakhurst, CA 93644-9028
Phone (559) 683-5189

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20050714000854 CA Practitioner - Clinical Social Worker 6608802293 Practice locations: Oakhurst, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

46485 River View Dr
Oakhurst, CA 93644-9028
Phone (559) 683-5189

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS 6876CAMDClinical Social Worker
MFC 14649CAMDMarriage & Family Therapist
6876CAMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221782400000",
    "number": "1710909601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46485 RIVER VIEW DR",
            "city": "OAKHURST",
            "state": "CA",
            "postal_code": "936449028",
            "telephone_number": "559-683-5189",
            "fax_number": "559-683-5189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46485 RIVER VIEW DR",
            "city": "OAKHURST",
            "state": "CA",
            "postal_code": "936449028",
            "telephone_number": "559-683-5189",
            "fax_number": "559-683-5189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORSKI",
        "first_name": "JEFFREY",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "LCSW, MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-23",
        "last_updated": "2008-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 6876",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 14649",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakhurst, CA

Sources for this page

Verify at the official NPI Registry.