JACK LEW GORHAM LCSW
NPI 1780947291
Social Worker - Clinical in Los Angeles, CA

Active since June 19, 2012
2500 WILSHIRE BLVD, 5TH FLOOR, LOS ANGELES, CA 90057(619) 573-0469 Get Directions Write a Review

NPPES record last updated: November 20, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jack Lew Gorham Lcsw NPPES

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

JACK LEW GORHAM LCSW (NPI 1780947291) is an individual clinical provider in Los Angeles, California, licensed in California (LCSW80419) and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1780947291
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJACK LEW GORHAMCredential: LCSW
Location Address2500 WILSHIRE BLVD, 5TH FLOORLos Angeles, CA 90057-4303
Mailing Address679 S New Hampshire Ave Ste 400Los Angeles, CA 90005-1355 · (619) 573-0469
Sole ProprietorYes
Enumeration DateJune 19, 2012
Last NPPES UpdateNovember 20, 2017
NPI 1780947291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in CA · LCSW80419
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
2500 WILSHIRE BLVD, Los Angeles, CA 90057

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.

Social Worker (Clinical)
2500 WILSHIRE BLVD
LOS ANGELES, CA 90057
Rehabilitation Practitioner
2500 WILSHIRE BLVD, SUITE 500
LOS ANGELES, CA 90057
Rehabilitation Practitioner
2500 WILSHIRE BLVD, SUIT 500
LOS ANGELES, CA 90057
Rehabilitation Practitioner
2500 WILSHIRE BLVD
LOS ANGELES, CA 90057
Case Management
2500 WILSHIRE BLVD, SUITE 500
LOS ANGELES, CA 90057
Dentist (General Practice)
2500 WILSHIRE BLVD, SUITE 1100
LOS ANGELES, CA 90057
Rehabilitation Practitioner
2500 WILSHIRE BLVD, STE#500
LOS ANGELES, CA 90057
Registered Nurse (Psychiatric/Mental Health)
2500 WILSHIRE BLVD, SUIT 500
LOS ANGELES, CA 90057

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 Jack Gorham's NPI number?

The NPI number for Jack Gorham is 1780947291. It was assigned to this individual provider in the NPPES registry on June 19, 2012.

Where is Jack Gorham located?

Jack Gorham practices at 2500 Wilshire Blvd 5th Floor, Los Angeles, CA 90057. The listed phone number is (619) 573-0469.

What is Jack 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 Jack Gorham was last updated on November 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.