Provider Demographics
NPI:1285862672
Name:GORROW, ELENA A (MSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:ELENA
Middle Name:A
Last Name:GORROW
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:ELENA
Other - Middle Name:
Other - Last Name:SCOTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 2532
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:CA
Mailing Address - Zip Code:94568-0253
Mailing Address - Country:US
Mailing Address - Phone:925-854-2221
Mailing Address - Fax:925-854-2766
Practice Address - Street 1:5820 STONERIDGE MALL RD STE 106
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-3275
Practice Address - Country:US
Practice Address - Phone:925-854-2221
Practice Address - Fax:925-854-2766
Is Sole Proprietor?:No
Enumeration Date:2009-06-24
Last Update Date:2020-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA762171041C0700X
CA256691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical