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

Individual provider Clinical Social Worker · NPI 1063461168

Kathleen J Gorman, LICSW is a Clinical Social Worker in Kailua Kona, Hawaii. Qualified in 1997, 29 years ago. Works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Hawaii, Minnesota and Wisconsin.

Years since qualifying
29
Licensed in
HI, MN, WI
In the registry since
2006
Specialties on file
3
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

75-5751 Kuakini Hwy Ste 101A
Kailua Kona, HI 96740-1705
Phone: (808) 326-5629
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 36745 Aiken Road, Bayfield, WI 54814-4579 — (715) 779-3707

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 4323 (HI)
Clinical Social Worker Taxonomy 1041C0700X · Licence 7600-123 (WI)
Clinical Social Worker Taxonomy 1041C0700X · Licence 13306 (MN)

Record details

NPI number1063461168
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedMay 8, 2006
Last updated in NPPESSeptember 13, 2019

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Kailua Kona