Elena Gorrow Licensed Clinical Social Worker, Inc. | |
2551 San Ramon Valley Blvd Ste 246 San Ramon CA 94583-1664 | |
(925) 854-2221 | |
Not Available |
Full Name | Elena Gorrow Licensed Clinical Social Worker, Inc. |
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Speciality | Counselor |
Location | 2551 San Ramon Valley Blvd Ste 246, San Ramon, California |
Authorized Official Name and Position | Elena Gorrow (THERAPIST) |
Authorized Official Contact | 9258542221 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Elena Gorrow Licensed Clinical Social Worker, Inc. 2551 San Ramon Valley Blvd Ste 246 San Ramon CA 94583-1664 Ph: (925) 854-2221 | Elena Gorrow Licensed Clinical Social Worker, Inc. 2551 San Ramon Valley Blvd Ste 246 San Ramon CA 94583-1664 Ph: (925) 854-2221 |
NPI Number | 1427529288 |
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Provider Enumeration Date | 12/05/2018 |
Last Update Date | 12/05/2018 |
Medicare PECOS PAC ID | 0446591903 |
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Medicare Enrollment ID | O20190410000344 |
Identifier | Type | State | Issuer |
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1427529288 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Elena A Gorrow |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1285862672 PECOS PAC ID: 1355682816 Enrollment ID: I20190410000444 |
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