Active NPI
Brian S. Gorrin, LCSW
- Clinical Social Worker
- Eugene, OR
National Provider Identifier
1912180340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L1442
- Practice address
- 492 E 13TH Ave
Suite 106
Eugene, OR 97401-4268 - Phone
- (541) 484-4132
- NPI assigned
- Dec 7, 2007
- Sex
- Male
- 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 | L1442 | OR | Primary |
Addresses
Primary practice location
492 E 13TH Ave
Suite 106
Eugene, OR 97401-4268
Mailing address
492 E 13TH Ave
Suite 106
Eugene, OR 97401-4268
Phone (541) 484-4132
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L1442 | OR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196985600000",
"number": "1912180340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "492 E 13TH AVE",
"address_2": "SUITE 106",
"city": "EUGENE",
"state": "OR",
"postal_code": "974014268",
"telephone_number": "541-484-4132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "492 E 13TH AVE",
"address_2": "SUITE 106",
"city": "EUGENE",
"state": "OR",
"postal_code": "974014268",
"telephone_number": "541-484-4132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORRIN",
"first_name": "BRIAN",
"middle_name": "S.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-07",
"last_updated": "2007-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L1442",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.