Individual provider Active NPI

Jami P Gorman

  • Clinical Social Worker
  • North Wales, PA
National Provider Identifier
1891556429
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149030766 Issued in IL
Practice address
1502 Naomis CT
North Wales, PA 19454-2009
Phone
(215) 290-8273
NPI assigned
Jan 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X 149030766 IL Primary

Addresses

Primary practice location

1502 Naomis CT
North Wales, PA 19454-2009

Mailing address

1502 Naomis CT
North Wales, PA 19454-2009
Phone (215) 290-8273

Other practice location 1

73 W Monroe St Ste 422
Chicago, IL 60603-4955
Phone (888) 500-2067

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20260422000587 MO Practitioner - Clinical Social Worker 4688141187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bootheel Counseling ServicesGroup PAC ID 5496725145, 21 clinicians

Practice addresses (Care Compare)

760 Plantation Blvd
Sikeston, MO 63801-5736
Phone (573) 471-0800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149030766ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cartwheel Health Services PC Clinical Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1891556429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 NAOMIS CT",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194542009",
            "telephone_number": "215-290-8273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 NAOMIS CT",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194542009",
            "telephone_number": "215-290-8273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "73 W Monroe St Ste 422",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606034955",
            "country_code": "US",
            "telephone_number": "888-500-2067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORMAN",
        "first_name": "JAMI",
        "middle_name": "P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-22",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149030766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Wales, PA

Sources for this page

Verify at the official NPI Registry.