Sarah Gordis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

112305 Issued in CA

Practice address

450 N Bedford Dr Ste 304
Beverly Hills, CA 90210-4307

Phone

(310) 347-7630

NPI assigned

Dec 22, 2022

Last updated

Dec 22, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Opted out of Medicare

Yes, effective Feb 28, 2024 through Feb 29, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1671667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1881306637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 MARINE ST APT 1",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904055654",
            "telephone_number": "310-347-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N BEDFORD DR STE 304",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104307",
            "telephone_number": "310-347-7630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDIS",
        "first_name": "SARAH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-22",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "112305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph M Goodman, DDS
• Judith L. Goodman, PH.D.
• Lauren Goodman, NP
• Mark P Goodman, M.D.
• Mary Bevens Goodman, NP-C
• Craig David Gordon, MD
• Denise Gordon, PSY.D., M.F.T.
• James Gordon, PH.D., M.F.T.
• Jonathan Melvin Gordon
• Martin N Gordon, M.D.

• Clinical Social Worker in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; 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.

Verify at the official NPI Registry.