Jack Lew Gorham, LCSW - Counselor in Los Angeles, CA

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Jack Lew Gorham, LCSW is a Social Worker - Clinical based in Los Angeles, California. Jack Lew Gorham is licensed to practice in California (license number LCSW80419) and his current practice location is 2500 Wilshire Blvd, 5th Floor, Los Angeles, California. He can be reached at his office (for appointments etc.) via phone at (619) 573-0469.

NPI number for Jack Lew Gorham is 1780947291 and his current mailing address is 679 S New Hampshire Ave Ste 400, Los Angeles, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1780947291.

Contact Information

Jack Lew Gorham, LCSW
2500 Wilshire Blvd, 5th Floor,
Los Angeles, CA 90057-4303
(619) 573-0469
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameJack Lew Gorham
GenderMale
SpecialitySocial Worker - Clinical
Location2500 Wilshire Blvd, Los Angeles, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1780947291
  • Provider Enumeration Date: 06/19/2012
  • Last Update Date: 11/20/2017

Medical Identifiers

Medical identifiers for Jack Lew Gorham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780947291NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Secondary
1041C0700XSocial Worker - Clinical LCSW80419 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jack Lew Gorham is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jack Lew Gorham, LCSW
679 S New Hampshire Ave Ste 400,
Los Angeles, CA 90005-1355

Ph: (619) 573-0469		Jack Lew Gorham, LCSW
2500 Wilshire Blvd, 5th Floor,
Los Angeles, CA 90057-4303

Ph: (619) 573-0469

Reviews and Comments


Social Worker in Los Angeles, CA


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.