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Search › California › Clinical Social Worker

Jack Gorham, LCSW

NPI 1780947291 · on the registry since 2012 · sole proprietor

Practice

Address
2500 Wilshire Blvd
5th Floor
Los Angeles, CA 90057
Phone
(619) 573-0469
Organisation at this address
Portals
Pacific Clinics
Portals House Inc
Portals Mental Health
Jmo Int Skills Dev Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
121

Registry record

Primary taxonomy
Clinical Social Worker
1041C0700X
Also registered as
Mental Health Counselor
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-11-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California