Caroline Gomes

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

23614 Issued in MD

Practice address

787 Oella Ave
Ellicott City, MD 21043-4727

Phone

(443) 720-0090

NPI assigned

Jul 6, 2018

Last updated

Jul 6, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Yudaguru LLC

  dba Yudaguru Integrative Wellness

  • Community/Behavioral Health Agency
  • Baltimore, MD
  • NPI 1629589387
  NPD (past)

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

{
    "created_epoch": "1530835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530835200000",
    "number": "1356837991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6409 WINSTON DR",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208175821",
            "telephone_number": "240-418-0421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "787 OELLA AVE",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434727",
            "telephone_number": "443-720-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMES",
        "first_name": "CAROLINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-06",
        "last_updated": "2018-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "23614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ritu Goel, MS, OTR/L, DHSC, CHT
• Andrea Goldberg, CCC-SLP
• Jeffrey M Goldberg, LCSW-C
• Samantha Hope Goldsmith, AU.D.
• Antoinette Marie Goldthrite
• Angela Gomez, SLP
• Reginald Gerald Gooden, M.AC.,L.AC.
• Lila Anne Goodwin, O. D.
• Emma Goon
• Nikita Samir Goradia, RDN,LDN

• Clinical Social Worker in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2018; 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.