GORDON WOLLIN (NPI# 1033656608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033656608 |
| Entity Type | Individual |
| Full Name | GORDON WOLLIN |
| Credential | LCSW |
| Practice Address |
11401 South Bloomfield Ave. Norwalk CA 90650 |
| Mailing Address |
11401 South Bloomfield Ave. Norwalk CA 90650-2015 |
| Practice Telephone | 5628637011 |
| Practice Fax Number | 5628644560 |
| Mailing Telephone | 5628637011 |
| Mailing Fax Number | 5628644560 |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2017-01-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW25379 | CA | Behavioral Health & Social Service Providers |
| Street Address |
11401 SOUTH BLOOMFIELD AVE. |
| City | NORWALK |
| State | CA |
| Zip Code | 90650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972500403 | Ehab Gamil Hanna | Psychiatry & Neurology | 11401 South Bloomfield Ave., Norwalk, CA 90650 | 2005-06-30 |
| 1174067060 | Eunmee Lee | Social Worker | 11401 South Bloomfield Ave., Norwalk, CA 90650 | 2016-12-12 |
| 1780128785 | Mei Wei Yu | Social Worker | 11401 South Bloomfield Ave., Norwalk, CA 90650 | 2016-12-09 |
| 1689118689 | Viviana Acevedo | Social Worker | 11401 South Bloomfield Ave., Norwalk, CA 90650 | 2016-12-09 |
| 1841734845 | Armanda H Pruitt | Social Worker | 11401 South Bloomfield Ave., Norwalk, CA 90650 | 2016-12-09 |
| 1235673237 | James Wha Park | Social Worker | 11401 South Bloomfield Ave., Norwalk, CA 90650 | 2016-12-09 |
| 1013451012 | Lee Breitenbach | Social Worker | 11401 South Bloomfield Ave., Norwalk, CA 90650 | 2016-12-09 |
| 1740722008 | Peter Han | Social Worker | 11401 South Bloomfield Ave., Norwalk, CA 90650 | 2016-11-17 |
| 1366984759 | Jennifer Anne Auer-escude | Social Worker | 11401 South Bloomfield Ave., Norwalk, CA 90650 | 2016-11-16 |
| 1205384039 | Glen Y Sato | Social Worker | 11401 South Bloomfield Ave., Norwalk, CA 90650 | 2016-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003420316 | Ricky Chavez | Occupational Therapist | 13603 Halcourt Avenue, Norwalk, CA 90650 | 2020-09-03 |
| 1326671652 | Ryan Ly | Psychologist | 11400 Bloomfield Blvd, Norwalk, CA 90650 | 2020-02-14 |
| 1710416177 | Ricky O Lee | Pharmacist | 11401 S. Bloomfield Ave, Norwalk, CA 90650 | 2017-06-08 |
| 1689108847 | Eliana Segura | Student in an Organized Health Care Education/Training Program | 12440 Firestone Ave Blvd., 3020, Norwalk, CA 90650 | 2017-04-14 |
| 1396282752 | Martin Sanchez Torres | Specialist/Technologist, Other | 14003 Summer Ave, Norwalk, CA 90650 | 2017-01-24 |
| 1952859837 | Fatimah Busran | Social Worker | 11401 South Bloomfield Avde., Norwalk, CA 90650 | 2016-09-20 |
| 1760939383 | Andy Chang | Licensed Psychiatric Technician | 12440 East Imperial Highway, Suite 116, Norwalk, CA 90650 | 2016-09-01 |
| 1548634322 | Leslie Yesenia Lazo | Student in an Organized Health Care Education/Training Program | 12440 E. Firestone Blvd, Norwalk, CA 90650 | 2015-11-17 |
| 1306247994 | Ruth Vergara | Student in an Organized Health Care Education/Training Program | 21520 S. Pioneer Blvd., Suite 110, Hawaiian Gardens, CA 90650 | 2014-09-15 |
| 1265854251 | Sungmin Yee | Acupuncturist | 12706 Bloomfield Ave, Apt. 135, Norwalk, CA 90650 | 2014-01-10 |
| Find all providers in zip 90650 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659979805 | Samantha Yurman | Social Worker | 100 Richards Ave Apt 309, Norwalk, CT 06854-1632 | 2020-10-10 |
| 1285251843 | Marissa Morgan | Social Worker | 9 Mott Ave Ste 410, Norwalk, CT 06850-3357 | 2020-06-30 |
| 1669098141 | Margaret Oconnell | Social Worker | 19 Richmond Hill Rd, Norwalk, CT 06854-2515 | 2020-06-22 |
| 1356986442 | Paris Johnson | Social Worker | 19 Harriet St, Norwalk, CT 06851-3604 | 2019-11-12 |
| 1629639794 | Anchored Hope Therapy, Licensed Clinical Social Worker | Social Worker | 11255 Fairford Ave, Norwalk, CA 90650-7630 | 2019-06-27 |
| 1780155119 | Kathleen Roach-seperack | Social Worker | 7-9 Isaac St, Norwalk, CT 06850-4102 | 2018-12-11 |
| 1699245597 | Jeanne Carrillo | Social Worker | 2 Twin Pond Dr, Norwalk, CT 06850-1432 | 2018-12-04 |
| 1164902169 | Megan Marie Kuchta | Social Worker | 142 East Ave, Norwalk, CT 06851-5742 | 2018-08-19 |
| 1023508629 | Mcallister Psychiatry & Psychotherapy, LLC | Social Worker | 69 East Ave Ste 2, Norwalk, CT 06851-4904 | 2018-05-18 |
| 1467959981 | Gail Paige-bowman | Social Worker | 185 Rowayton Woods Dr., Norwalk, CT 06854 | 2018-04-11 |
| Find all providers in NORWALK | ||||
Please comment or provide details below to improve the information on GORDON WOLLIN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.