Physician Compare National (NPI:1710909601)

HEALTHCARE PROVIDER: JEFFREY PAUL GORSKI LCSW, MFT

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1710909601
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6608802293
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20050714000854
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GORSKI
	Individual professional last name
Provider First Name	JEFFREY
	Individual professional first name
Provider Middle Name	PAUL
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	CSW
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1976
	Individual professional's medical school graduation year
Primary Specialty	CLINICAL SOCIAL WORKER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	46485 RIVER VIEW DR
	Group Practice or individual's line 1 address
City	OAKHURST
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	936449028
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5596835189
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y