Mary Lou Gorzelic, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW015428 Issued in PA

Practice address

105 W Broad St FL 2
Tamaqua, PA 18252-1916

Phone

(610) 737-5818

Fax

(610) 253-7062

NPI assigned

Aug 9, 2006

Last updated

Oct 28, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Star Community Health, Inc

  • General Practice Physician
  • Bethlehem, PA
  • NPI 1033686159
  Medicare reassignment NPD
• The Carbon-Schuylkill Community Hospital, Inc.

  dba St. Luke's Miners Memorial Hospital ER

  • Emergency Medicine Physician
  • Coaldale, PA
  • NPI 1194891010
  Medicare reassignment NPD
• Carbon-Schuylkill Community Hospital, Inc.

  dba St. Luke's Miner's Physician Assistants

  • Physician Assistant
  • Coaldale, PA
  • NPI 1164726733
  NPD
• Star Community Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Bethlehem, PA
  • NPI 1942832720
  NPD

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414454400000",
    "number": "1750391785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3617 TENNESSEE DR",
            "city": "OREFIELD",
            "state": "PA",
            "postal_code": "180693038",
            "telephone_number": "610-737-5818",
            "fax_number": "610-253-7062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W BROAD ST FL 2",
            "city": "TAMAQUA",
            "state": "PA",
            "postal_code": "182521916",
            "telephone_number": "610-737-5818",
            "fax_number": "610-253-7062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORZELIC",
        "first_name": "MARY LOU",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2014-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102542171",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marc Gallagher
• David Garcia, PHARMD
• Gabby Ghasb, DO
• Mary Ann Gimbel, PT, CHT
• Gnaden Huetten Memorial Hospital
• Greenwood Center for Nursing and Rehab LLC
• Jacqueline Heffner, CRNP
• Sharon Denise Heil, M.S., L.P.C.
• Help Me Grow Therapeutic Services, LLC
• Jessica Herness, PT

• Clinical Social Worker in Tamaqua, PA
• Providers in Tamaqua, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; 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.