Stephanie Gomez, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

123082 Issued in CA

Practice address

1002 Finegrove Ave
Hacienda Heights, CA 91745-1316

Phone

(626) 803-2466

NPI assigned

Aug 9, 2016

Last updated

Jul 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1083168884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 FINEGROVE AVE",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917451316",
            "telephone_number": "626-803-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 FINEGROVE AVE",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917451316",
            "telephone_number": "626-803-2466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "STEPHANIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-09",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "85454",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "123082",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Golden Senior Care, LLC
• Sarah Elizabeth Gomes
• Gregory Gomez II
• Jennifer Gomez
• Samantha Gomez
• Gonzales Corporation (Apple Chiropractic)
• David Arthur Gonzales, D.C.
• Justin P Gonzales
• Sharon Lea Gonzales, D.C.
• Angel Gonzalez Dominguez

• Clinical Social Worker in Hacienda Heights, CA
• Providers in Hacienda Heights, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.