MS. MARY SLOAN GORMAN (NPI# 1477663573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477663573 |
| Entity Type | Individual |
| Full Name | MS. MARY SLOAN GORMAN |
| Other Name | MS. SLOAN GORMAN |
| Credential | MSW LCSW |
| Practice Address |
205 Keller St Ste 202c Petaluma CA 94952-2878 |
| Mailing Address |
328 Howard St Apt A Petaluma CA 94952-2721 |
| Practice Telephone | 7077897894 |
| Mailing Telephone | 7077897894 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2018-11-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 005502 | CT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | STATE OF CT LICENSE | 005502 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2455 Bennett Valley Rd Ste C210, Santa Rosa, CA 954045671 | 7077897894 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861555096 | Mary Beck Gorman | Anesthesiology | 137 W Lee St, Baltimore, MD 21201-2420 | 2006-12-19 |
| 1073606828 | Mary Gorman | Physical Therapist | 309 S Pacific Hwy, Talent, OR 97540-6650 | 2006-10-02 |
| 1710925359 | Mary G Gorman | Emergency Medicine | 723 Hill Country Dr Ste C, Kerrville, TX 78028-6043 | 2006-06-04 |
| 1205807286 | Mary Gorman | Nurse Practitioner | 4967 Crooks Rd Ste 130, Troy, MI 48098-5812 | 2006-01-30 |
| 1316370281 | Mary Ellen Gorman | Registered Nurse | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2013-08-15 |
| 1790078517 | Mary Larissa Gorman | Counselor | 135 Colorado St E, Saint Paul, MN 55107-2244 | 2011-05-26 |
| 1063636041 | Mary Elizabeth Gorman | Otolaryngology | 1221 Mercantile Ln, Largo, MD 20774-5374 | 2007-04-12 |
| 1386688026 | Mary Elizabeth Gorman | Nurse Anesthetist, Certified Registered | 234 Goodman St, Cincinnati, OH 45219-2364 | 2006-06-15 |
| 1346289832 | Mary A Gorman | Nurse Practitioner | 10 Gove St, East Boston, MA 02128-1920 | 2006-06-06 |
| 1235176538 | Mary Ellen Gorman | Registered Nurse | 42 Washington St, Suite 210, Wellesley, MA 02481 | 2006-06-02 |
| Street Address |
205 KELLER ST STE 202C |
| City | PETALUMA |
| State | CA |
| Zip Code | 94952-2878 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114587680 | Benjamin R Idarius | Behavior Technician | 101 H St. Ste. L, Petaluma, CA 94952 | 2019-06-17 |
| 1518457159 | Kyleen Joan Romero | Behavioral Analyst | 25 Graylawn Ave, Petaluma, CA 94952 | 2018-05-17 |
| 1437647526 | John Scruggs | Behavior Technician | 301 H St. Suit L, Petaluma, CA 94952 | 2018-04-25 |
| 1811404684 | Brief and Strategic Counseling Service | Counselor | 843 Chardonnay Cir., Petaluma, CA 94952 | 2018-01-03 |
| 1730638396 | Jennifer Lee Sloan | Acupuncturist | 517 Hayes Lane, Petaluma, CA 94952 | 2016-09-23 |
| 1982057295 | Elene Hwa-yihg Chung | Acupuncturist | 130 Graylawn Ave.,#f, Petaluma, CA 94952 | 2016-07-21 |
| 1457773624 | Lisa Hirsch Cordeiro | Marriage & Family Therapist | 700 Sixth Street, Petaluma, CA 94952 | 2014-01-07 |
| 1811271075 | Jacques Philippe Archer | Massage Therapist | 131b Kentucky St., Petaluma, CA 94952 | 2011-10-06 |
| 1477841609 | Karna Licia Dawson | Social Worker | 205 Keller St., Petaluma, CA 94952 | 2011-07-21 |
| 1497051783 | Melissa Beth Wilson | Acupuncturist | 155a Kentucky Street, Petaluma, CA 94952 | 2011-02-03 |
| Find all providers in zip 94952 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386750560 | Cheryl L Jern | Social Worker | #7 Fourth St Suite 13, Petaluma, CA 94952 | 2006-08-21 |
| 1902257264 | Satpal Khalsa | Social Worker | 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 | 2016-06-28 |
| 1407221237 | Kirk E Jarrett | Social Worker | 1500 Petaluma Blvd S, Petaluma, CA 94952-5545 | 2015-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071460 | Kimberly Ann Tahernia | Social Worker | 155 Wanish Pl, Palm Desert, CA 92260-7319 | 2020-10-22 |
| 1831798594 | Open Minds Sb LLC | Social Worker | 312 Lighthouse Rd, Santa Barbara, CA 93109-1908 | 2020-10-22 |
| 1619576790 | Larry George Hazaert | Social Worker | 9828 Central Avenue, Montclair, CA 91763-2817 | 2020-10-20 |
| 1396343703 | Catya Jeannette Molina | Social Worker | 2000 Hazeltine Dr, Oxnard, CA 93036-6308 | 2020-10-16 |
| 1467050831 | Michael J Samuelson | Social Worker | 23501 Cinema Dr Ste 200&210, Valencia, CA 91355-5428 | 2020-10-16 |
| 1245837004 | Tanya Renee Banks | Social Worker | 2280 Benton Dr # C, Redding, CA 96003-5349 | 2020-10-05 |
| 1669089868 | Kimberly J Hansen Anderson | Social Worker | 12071 Tivoli Park Row Unit 2, San Diego, CA 92128-4385 | 2020-09-30 |
| 1558978338 | Emily J White | Social Worker | 1225 Vienna Dr Spc 292, Sunnyvale, CA 94089-1833 | 2020-09-25 |
| 1255947958 | Diep Le | Social Worker | 991 39th St Apt B, Oakland, CA 94608-3899 | 2020-09-17 |
| 1790399061 | Miyu Rosie Tanabe | Social Worker | 2730 Torrey Pine Dr, Fullerton, CA 92835-2848 | 2020-09-03 |
| Find all providers with the same taxonomy | ||||
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| 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.