MR. ROSCOE GORHAM LICSW, CADAC
NPI 1124208038
Social Worker - Clinical in Waltham, MA

Active since November 07, 2007
23 REYEM ST, WALTHAM, MA 02453(781) 330-9357 Get Directions Write a Review

NPPES record last updated: November 7, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Roscoe Gorham Licsw, Cadac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ROSCOE GORHAM LICSW, CADAC (NPI 1124208038) is an individual clinical provider in Waltham, Massachusetts, licensed in Massachusetts (111906) and active in the NPI registry since November 2007.

NPPES Registry Identity

NPI1124208038
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. ROSCOE GORHAMCredential: LICSW, CADAC
Location Address23 REYEM STWaltham, MA 02453-5401
Mailing Address23 Reyem StWaltham, MA 02453-5401 · (781) 330-9357
Sole ProprietorYes
Enumeration DateNovember 7, 2007
NPI 1124208038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MA · 111906
Definition

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.

23 REYEM ST, Waltham, MA 02453

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roscoe Gorham's NPI number?

The NPI number for Roscoe Gorham is 1124208038. It was assigned to this individual provider in the NPPES registry on November 7, 2007.

Where is Roscoe Gorham located?

Roscoe Gorham practices at 23 Reyem St, Waltham, MA 02453. The listed phone number is (781) 330-9357.

What is Roscoe Gorham's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Roscoe Gorham was last updated on November 7, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.