National Provider Identifier
Lia O'Gorman, LCSW
Lia O'Gorman, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Cuba, NY and a listed phone number of (585) 610-6762.
Profile Overview
- NPI
- 1790416204
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- June 23, 2022
- Last Updated
- June 23, 2022
Practice Location
- 7100 Rawson RD
- Cuba, NY 14727-9281
Phone: (585) 610-6762
Mailing Address
- 102 W Seneca St Ste 205
- Manlius, NY 13104-2480
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1790416204
- Entity Type
- Individual
- Last Name
- O'Gorman
- First Name
- Lia
- Credential
- LCSW
- Mailing Street Address
- 102 W Seneca St Ste 205
- Mailing City
- Manlius
- Mailing State
- NY
- Mailing ZIP Code
- 13104-2480
- Mailing Country
- US
- Mailing Phone
- (585) 653-0229
- Practice Street Address
- 7100 Rawson RD
- Practice City
- Cuba
- Practice State
- NY
- Practice ZIP Code
- 14727-9281
- Practice Country
- US
- Practice Phone
- (585) 610-6762
- Enumeration Date
- June 23, 2022
- Last Updated
- June 23, 2022
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- June 23, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)