Jerry Andrew Gorman, MSW is a
Social Worker - Clinical based in Fairfield, California. Jerry Andrew Gorman is licensed to practice in California (license number LCSW93390) and his current practice location is
275 Beck Ave # Ms 5-250, Fairfield, California. He can be reached at his office (for appointments etc.) via phone at
(707) 784-8355.
NPI number for Jerry Andrew Gorman is 1023583721 and his current mailing address is 275 Beck Ave # Ms 5-250, Fairfield, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1023583721.
Healthcare Provider's Profile
| Full Name | Jerry Andrew Gorman |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 275 Beck Ave # Ms 5-250, Fairfield, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1023583721
- Provider Enumeration Date: 10/09/2018
- Last Update Date: 01/23/2020
Medical Identifiers
Medical identifiers for Jerry Andrew Gorman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023583721 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW93390 (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. Jerry Andrew Gorman 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 Address | Practice Location Address |
|---|
Jerry Andrew Gorman, MSW
275 Beck Ave # Ms 5-250,
Fairfield, CA 94533-6804
Ph: (707) 784-8355 | Jerry Andrew Gorman, MSW
275 Beck Ave # Ms 5-250,
Fairfield, CA 94533-6804
Ph: (707) 784-8355 |
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