Jacob M Gorman, LMSW
Social Worker, Clinical in Owego, NY. Individual provider (NPI-1).
NPI number1699009779
StatusActive
Last updated in NPPESSep 23, 2009
Details
- NPI
- 1699009779
- Entity type
- Individual (NPI-1)
- Name
- Jacob M Gorman
- Credential
- LMSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 23, 2009
- Last updated
- Sep 23, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 079843 | NY | Yes |
Practice location
1062 State Route 38Owego, NY 13827
Phone 607-687-4000 · Fax 607-687-6396
Mailing address
1062 State Route 38Po Box 177
Owego, NY 13827
Phone 607-687-4000 · Fax 607-687-6396
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 45 Clinical Social Worker providers in Owego · All 282 providers in Owego
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