Emma Eulalia Gomez, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

73048 Issued in CA

Practice address

433 Callan Ave Ste 309
San Leandro, CA 94577-4641

Phone

(510) 380-6146

NPI assigned

Jul 27, 2020

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: emma.gomez.1@22378.direct.athenahealth.com

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

• Karim Lotfy-Mohammed MD PC

  • Psychiatry Physician
  • Chico, CA
  • NPI 1265173702
  NPD (past)
• Marsha Medical Group of Ca, P.C.

  • Adult Medicine Physician
  • Los Angeles, CA
  • NPI 1811683311
  NPD (past)
• Matters of the Heart Counseling Centers, a Marriage & Family Therapy Corproation

  • Marriage & Family Therapist
  • San Leandro, CA
  • NPI 1194205799
  NPD (past)

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1407465461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 CALLAN AVE STE 309",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774641",
            "telephone_number": "510-380-6146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 CALLAN AVE STE 309",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774641",
            "telephone_number": "510-380-6146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5900 Tehama Ave",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "CA",
            "postal_code": "948045048",
            "country_code": "US",
            "telephone_number": "707-718-5193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "EMMA",
        "middle_name": "EULALIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-27",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "73048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nohemi Angelica Gomez Martinez
• Elizabeth Gomez-Greig
• Adrian Gomez
• Alycia Marie Gomez, M.ED.
• Anamaria Gomez
• Jason Benicio Gomez
• Kaleena Marie Gomez
• Leona Saluta Gomez
• Margarita Gomez
• Noemi Gomez, MA, BCBA

• Clinical Social Worker in San Leandro, CA
• Providers in San Leandro, 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 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.