JESSICA RILEY GORMAN LADC
NPI 1316525579
Counselor - Addiction (Substance Use Disorder) in Norwalk, CT
Active since March 30, 2021
About Jessica Riley Gorman Ladc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSICA RILEY GORMAN LADC (NPI 1316525579) is an individual addiction (substance use disorder) provider in Norwalk, Connecticut, licensed in Connecticut (1622) and active in the NPI registry since March 2021.
NPPES Registry Identity
NPI1316525579
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJESSICA RILEY GORMANCredential: LADC
Location Address10 WILLARD RD UNIT 358Norwalk, CT 06851-7403
Mailing Address6 Algonquin RdNorwalk, CT 06851-1820
Phone(203) 722-6158
Sole ProprietorNo
Enumeration DateMarch 30, 2021
Last NPPES UpdateJune 25, 20253 updates tracked since enumeration
NPPES CertifiedJune 25, 2025
✔ NPI 1316525579 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CT · 1622
10 WILLARD RD UNIT 358, Norwalk, CT 06851
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1316525579, enumerated as an "individual" on March 30, 2021.
The provider is located at 10 WILLARD RD UNIT 358 NORWALK, CT 06851 and the phone number is (203) 722-6158.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).