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CLAIRE F GORHAM APSW
NPI 1730862566
Social Worker in Middleton, WI

Active since August 09, 2023PECOS Enrolled
2275 DEMING WAY STE 180, MIDDLETON, WI 53562(608) 282-8200 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Claire F Gorham Apsw NPPES

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

CLAIRE F GORHAM APSW (NPI 1730862566) is an individual social worker in Middleton, Wisconsin, licensed in Wisconsin (134361) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of University Of Wisconsin School Of Medicine (2023).

NPPES Registry Identity

NPI1730862566
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameCLAIRE F GORHAMCredential: APSW
Location Address2275 DEMING WAY STE 180Middleton, WI 53562-5527
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Phone(608) 282-8200
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2023
Enumeration DateAugust 9, 2023
NPPES CertifiedAugust 9, 2023
✔ NPI 1730862566 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 WI · 134361
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.
2275 DEMING WAY STE 180, Middleton, WI 53562
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW, HealthPartners and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Claire F Gorham Apsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648757930
PECOS Enrollment IDI20260116001712
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Claire Gorham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Wisconsin Medical Foundation, Inc
0.3 mi
Multi-Specialty
7974 UW HEALTH COURT
Middleton, WI 53562
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,832 clinicians in this Medicare group
NPI 1598784555 (608) 829-5485

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMILY A RAHEIM LCSW
Social Worker (Clinical)
2275 DEMING WAY STE 180
MIDDLETON, WI 53562
Dane County (608) 282-8200
BRANDON S BYKOWSKI MSW, LCSW-SA
Social Worker (Clinical)
2275 DEMING WAY STE 180
MIDDLETON, WI 53562
Dane County (608) 282-8200
MS. YOLANDA CROUCH LPC
Counselor (Professional)
2275 DEMING WAY STE 180
MIDDLETON, WI 53562
Dane County (608) 282-8200
SYEDA MARIAM HASNAIN LMFT
Marriage & Family Therapist
2275 DEMING WAY STE 180
MIDDLETON, WI 53562
Dane County (608) 282-8200
DR. KATHERINE ANNE WATERMOLEN PSY.D
Psychologist
2275 DEMING WAY STE 180
MIDDLETON, WI 53562
Dane County (608) 282-8200
SKYLER W BELCOURT M.S.
Counselor (Addiction (Substance Use Disorder))
2275 DEMING WAY STE 180
MIDDLETON, WI 53562
Dane County (608) 282-8200
DR. MARGRETT CHRISTINE SAMPE PH.D.
Psychologist
2275 DEMING WAY STE 180
MIDDLETON, WI 53562
Dane County (608) 282-8200
MR. CHRISTOPHER J WIRTH MS LMFT
Marriage & Family Therapist
2275 DEMING WAY STE 180
MIDDLETON, WI 53562
Dane County (608) 282-8200

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 Claire Gorham's NPI number?

The NPI number for Claire Gorham is 1730862566. It was assigned to this individual provider in the NPPES registry on August 9, 2023.

Where is Claire Gorham located?

Claire Gorham practices at 2275 Deming Way Ste 180, Middleton, WI 53562. The listed phone number is (608) 282-8200.

What is Claire Gorham's specialty?

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

Is Claire Gorham enrolled in Medicare?

Yes. Claire Gorham is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Claire Gorham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Claire Gorham reassigns Medicare benefits to University Of Wisconsin Medical Foundation, Inc (Middleton, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Claire Gorham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Claire Gorham accept?

Health plans from Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW, HealthPartners, Quartz and Security Health Plan list Claire Gorham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Claire Gorham was last updated on August 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.