KIMBERLY ANN GORA-BUCK (NPI# 1588126726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588126726 |
| Entity Type | Individual |
| Full Name | KIMBERLY ANN GORA-BUCK |
| Credential | LCSW |
| Practice Address |
600 Haverford Rd Ste 201 Haverford PA 19041-1139 |
| Mailing Address |
3623 Reed St Philadelphia PA 19146-3214 |
| Practice Telephone | 6106642524 |
| Mailing Telephone | 3023815736 |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2019-04-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CW020292 | PA | Behavioral Health & Social Service Providers |
| Street Address |
600 HAVERFORD RD STE 201 |
| City | HAVERFORD |
| State | PA |
| Zip Code | 19041-1139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821028119 | Mohamed R. Dattu | Psychiatry & Neurology | 600 Haverford Rd Ste 201, Haverford, PA 19041-1139 | 2006-07-03 |
| 1619580495 | Brenda Del Carmen | Counselor | 600 Haverford Rd Ste 201, Haverford, PA 19041-1139 | 2020-08-31 |
| 1063021160 | Sarah Martyn | Massage Therapist | 600 Haverford Rd Ste 201, Haverford, PA 19041-1139 | 2020-07-24 |
| 1417575770 | Ronnal Demeko Freeman | Counselor | 600 Haverford Rd Ste 201, Haverford, PA 19041-1139 | 2020-07-13 |
| 1740809110 | Mary Alysse Metzger | Counselor | 600 Haverford Rd Ste 201, Haverford, PA 19041-1139 | 2020-04-15 |
| 1477106607 | Marquisha Dunston | Social Worker | 600 Haverford Rd Ste 201, Haverford, PA 19041-1139 | 2019-07-17 |
| 1952842296 | Nanette Farrell | Counselor | 600 Haverford Rd Ste 201, Haverford, PA 19041-1139 | 2017-03-20 |
| 1063576387 | Stacie A Nawn | Counselor | 600 Haverford Rd Ste 201, Haverford, PA 19041-1139 | 2006-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285172999 | Linda G Tessler | Psychologist | 103 Green Lane, Haverford, PA 19041 | 2017-02-02 |
| 1255626529 | Haverford College Health Services | Registered Nurse | 370 Lancaster Avenue, Haverford, PA 19041 | 2011-06-15 |
| 1316256050 | Deborah Jean Gunton | Psychologist | 349 West Lancaster Avenue, Suite 201, Haverford, PA 19041 | 2010-09-29 |
| 1629390695 | Moira L Kowalczyk | Occupational Therapist | 551 West Lancaster Avenue, Haverford, PA 19041 | 2010-02-18 |
| 1528398724 | John Antoniades | Radiology | 404 Richard Knoll, Haverford, PA 19041 | 2010-01-11 |
| 1215264262 | Robert Frederick Plotkin | Pediatrics | 3300 Darby Rd., Apt 1310, Haverford, PA 19041 | 2009-11-12 |
| 1396984662 | Joel E Wasley | Dentist | 268 West Montgomery Avenue, Haverford, PA 19041 | 2009-02-11 |
| 1538325105 | Joseph Anthony Gwiszcz Jr. | Pediatrics | 600 Haverford Road., Suite 100, Haverford, PA 19041 | 2008-08-04 |
| 1619142262 | Gregory Stephen Wilson | Occupational Therapist | 551 W Lancaster Avenue, Staffing Plus, Haverford, PA 19041 | 2008-04-24 |
| 1972790319 | Lene H Larsen | Psychologist | 349 W. Lancaster Avenue, Suite 103, Haverford, PA 19041 | 2007-10-01 |
| Find all providers in zip 19041 | ||||
| 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 |
|---|---|---|---|---|
| 1922630847 | Aury Garcia | Social Worker | 355 Lancaster Ave Bldg C, Haverford, PA 19041-1547 | 2020-02-08 |
| 1235598244 | Main Line Therapy Solutions | Social Worker | 600 Haverford Rd Ste G104, Haverford, PA 19041-1139 | 2016-02-18 |
| 1316034374 | Richard Ferry | Social Worker | 600 Haverford Rd Ste 200, Haverford, PA 19041-1139 | 2006-10-09 |
| 1477106607 | Marquisha Dunston | Social Worker | 600 Haverford Rd Ste 201, Haverford, PA 19041-1139 | 2019-07-17 |
| 1871082404 | Kimberly Nelson | Social Worker | 600 Haverford Rd, Haverford, PA 19041-1139 | 2018-05-09 |
| 1700245180 | Mary L Fair | Social Worker | 600 Haverford Rd, Suite 201, Haverford, PA 19041-1139 | 2016-02-15 |
| 1225401268 | Avital Spiegel | Social Worker | 600 Haverford Rd, Suite 201, Haverford, PA 19041-1139 | 2015-11-12 |
| 1285018135 | Katharine Wenocur | Social Worker | 600 Haverford Rd, Suite 201, Haverford, PA 19041-1139 | 2015-07-09 |
| 1104187590 | William Joseph Heran | Social Worker | 355 Lancaster Ave, Bldg. E, 2nd Floor, Haverford, PA 19041-1547 | 2012-06-02 |
| 1386794832 | Shobhana Laveen Kanal | Social Worker | 355 Lancaster Ave, Bldg. C, 2nd Floor, Haverford, PA 19041-1547 | 2007-01-10 |
| Find all providers in HAVERFORD | ||||
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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.