MS. MARY SLOAN GORMAN LCSW
NPI 1477663573
Social Worker in Petaluma, CA

Q: What is Mary Gorman's NPI number?

The NPI number for Mary Gorman is 1477663573. It was assigned to this individual provider in the NPPES registry on August 30, 2006. The provider is also known as Ms. Sloan Gorman.

Q: What is Mary Gorman's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: Is Mary Gorman enrolled in Medicare?

No. Mary Gorman has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Mary Gorman was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 30, 2006Opted out of Medicare · through Oct 1, 2027

328 HOWARD ST., APT A, PETALUMA, CA 94952(707) 789-7894 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Ms. Mary Sloan Gorman Lcsw NPPES

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

MS. MARY SLOAN GORMAN LCSW (NPI 1477663573) is an individual social worker in Petaluma, California, licensed in Connecticut (005502) and active in the NPI registry since August 2006. She has opted out of Medicare through October 1, 2027 and maintains a secondary practice location in Santa Rosa.

NPPES Registry Identity

NPI1477663573

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameMS. MARY SLOAN GORMANCredential: LCSW

Location Address328 HOWARD ST., APT APetaluma, CA 94952

Mailing Address328 Howard St., Apt APetaluma, CA 94952 · (707) 789-7894

Phone(707) 789-7894

Sole ProprietorYes

Enumeration DateAugust 30, 2006

Last NPPES UpdateSeptember 30, 2025

NPPES CertifiedSeptember 30, 2025

✔ NPI 1477663573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in CT · 005502

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

328 HOWARD ST., Petaluma, CA 94952

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Other Names 1

Professional Name (2)Ms. Sloan Gorman

Secondary Practice Location 1

Location 12455 Bennett Valley Rd Ste C210Santa Rosa, CA 95404-5671 · Phone (707) 789-7894

Other Identifiers 1

Other005502CT · State Of Ct License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Mary Sloan Gorman Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2025 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2025

Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Mary Gorman's NPI number?

The NPI number for Mary Gorman is 1477663573. It was assigned to this individual provider in the NPPES registry on August 30, 2006. The provider is also known as Ms. Sloan Gorman.

Where is Mary Gorman located?

Mary Gorman practices at 328 Howard St. Apt A, Petaluma, CA 94952. The listed phone number is (707) 789-7894.

What is Mary Gorman's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Mary Gorman enrolled in Medicare?

No. Mary Gorman has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Mary Gorman was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.