Provider Demographics
NPI:1679263818
Name:GORIN, BATTINA MAY (LCSW)
Entity Type:Individual
Prefix:
First Name:BATTINA
Middle Name:MAY
Last Name:GORIN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:TINA
Other - Middle Name:
Other - Last Name:GORIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:435 GREENACRE DR NW
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97304-4210
Mailing Address - Country:US
Mailing Address - Phone:503-504-9251
Mailing Address - Fax:
Practice Address - Street 1:435 GREENACRE DR NW
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97304-4210
Practice Address - Country:US
Practice Address - Phone:503-504-9251
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-10
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL84561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical