Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Emmett Rose Gormley, LCSW

Individual provider Social Worker · NPI 1134625692

Emmett Rose Gormley, LCSW is a Clinical Social Worker in Philadelphia, Pennsylvania. Qualified in 2016, 10 years ago. Practices with Jefferson University Physicians, a 1,554-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
10
Licensed in
PA
In the registry since
2018
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

33 S 9th St Ste 210
Philadelphia, PA 19107
Phone: (484) 416-6122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 900 S 49th St, Philadelphia, PA 19143-3481 — (484) 416-6122

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CW020281 (PA)
Social Worker Taxonomy 104100000X · Licence SW133443 (PA)

Record details

NPI number1134625692
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedApril 3, 2018
Last updated in NPPESJune 7, 2022
Certification dateJune 7, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Jefferson University Physicians — 1554 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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