Individual
MS. JUDITH GORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW,LCDCS
Contact information
Practice address
80 EAST ST, CRANSTON, RI 02920-4421
(401) 463-6001
(401) 463-8572
Mailing address
80 EAST ST, CRANSTON, RI 02920-4421
(401) 463-6001
(401) 463-8572
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDS00049
RI
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LADC I-1072
MA
1041C0700X
Clinical Social Worker
CSW00684
RI
Other
Enumeration date
03/16/2007
Last updated
09/11/2025
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