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

Jack Lew Gorham, LCSW

Individual provider Mental Health Counselor · NPI 1780947291

Jack Lew Gorham, LCSW is a Mental Health Counselor in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2012
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

2500 Wilshire Blvd 5th Fl
Los Angeles, CA 90057-4303
Phone: (619) 573-0469
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW80419 (CA)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1780947291
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 19, 2012
Last updated in NPPESNovember 20, 2017

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