Vanessa Monique Gomez, BSW,QMHP-CS
Individual provider Active NPI Community Health Worker · Dallas, TX
NPI 1083100150 · NPPES record last updated Jul 2, 2018
Key facts
- NPI
- 1083100150
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 8915 Harry Hines Blvd
Dallas, TX 75235-1717 - Phone
- (817) 902-9752
- NPI assigned
- Jul 2, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker |
172V00000X | Yes |
Addresses
Primary practice location
8915 Harry Hines Blvd
Dallas, TX 75235-1717
Mailing address
8915 Harry Hines Blvd
Dallas, TX 75235-1717
Phone (817) 902-9752
Other providers in Dallas, TX
- Loida E Gomez
- Mike Gomez
- Minverva Gomez
- Richard Gomez
- Richard Raul Gomez
- Victor M Gomez
- Keerthi Gondi
- Mei Gong
- Timothy Allan Gong
- Wei Gong
All providers in Dallas, TX · Community Health Worker in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.