Rosan Gomperts, LCSW
Social Worker, Clinical in Stanford, CA. Individual provider (NPI-1).
NPI number1780912931
StatusActive
Last updated in NPPESNov 30, 2009
Details
- NPI
- 1780912931
- Entity type
- Individual (NPI-1)
- Name
- Rosan Gomperts
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 30, 2009
- Last updated
- Nov 30, 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
- Medicare opt-out
- Mar 1, 2024 to Mar 1, 2028
- 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 | 20798 | CA | Yes |
Practice location
585 Capistrano WayMariposa House
Stanford, CA 94305-8550
Phone 650-723-4577
Mailing address
585 Capistrano WayMariposa House
Stanford, CA 94305-8550
Phone 650-723-4577
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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