Provider Demographics
NPI:1023488442
Name:GORMLEY, FRANCIS JR (LMSW)
Entity type:Individual
Prefix:MR
First Name:FRANCIS
Middle Name:
Last Name:GORMLEY
Suffix:JR
Gender:M
Credentials:LMSW
Other - Prefix:MR
Other - First Name:FRANK
Other - Middle Name:
Other - Last Name:GORMLEY
Other - Suffix:JR
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:9 NANCY LN
Mailing Address - Street 2:
Mailing Address - City:MASHPEE
Mailing Address - State:MA
Mailing Address - Zip Code:02649-3444
Mailing Address - Country:US
Mailing Address - Phone:808-291-7018
Mailing Address - Fax:
Practice Address - Street 1:9 NANCY LN
Practice Address - Street 2:
Practice Address - City:MASHPEE
Practice Address - State:MA
Practice Address - Zip Code:02649-3444
Practice Address - Country:US
Practice Address - Phone:808-291-7018
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-28
Last Update Date:2015-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY080720104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker