Active NPI
Sara Gorcos, LICSW
- Clinical Social Worker
- Snoqualmie, WA
National Provider Identifier
1760946933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW61344194
- Practice address
- 35302 SE Center St # 514
Snoqualmie, WA 98065-9216 - Phone
- (425) 276-1885
- Fax
- (206) 934-4831
- NPI assigned
- Jan 22, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LW61344194 | WA | Primary |
Addresses
Primary practice location
35302 SE Center St # 514
Snoqualmie, WA 98065-9216
Mailing address
35302 SE Center St # 514
Snoqualmie, WA 98065-9216
Phone (425) 276-1885
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2120969 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 7, 2023 through Mar 7, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LW61344194 | WA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710374400000",
"number": "1760946933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35302 SE CENTER ST # 514",
"city": "SNOQUALMIE",
"state": "WA",
"postal_code": "980659216",
"telephone_number": "425-276-1885",
"fax_number": "206-934-4831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35302 SE CENTER ST # 514",
"city": "SNOQUALMIE",
"state": "WA",
"postal_code": "980659216",
"telephone_number": "425-276-1885",
"fax_number": "206-934-4831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORCOS",
"first_name": "SARA",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-22",
"last_updated": "2024-03-14",
"certification_date": "2024-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW61344194",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2120969",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Snoqualmie, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.