Matthew Gomez, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

7200 N 91St Ave Unit 1119
Glendale, AZ 85305-3092

Phone

(602) 689-7265

NPI assigned

Jun 29, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Maricopa County Special Health Care District

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1073576740
  Medicare reassignment NPD
• Maricopa County Special Health Care District

  • Adult Mental Health Clinic/Center
  • Avondale, AZ
  • NPI 1043679327
  NPD
• Maricopa County Special Health Care District

  • Federally Qualified Health Center (FQHC)
  • Mesa, AZ
  • NPI 1306265145
  NPD

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1477285138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 N 91ST AVE UNIT 1119",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853053092",
            "telephone_number": "602-689-7265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 N 91ST AVE UNIT 1119",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853053092",
            "telephone_number": "602-689-7265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "MATTHEW",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-29",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mrgomez3@asu.edu",
            "affiliation": "N",
            "address_1": "7200 N 91st Ave Unit 1119",
            "city": "Glendale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853053092",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mrgomez3@asu.edu",
            "affiliation": "N",
            "address_1": "7200 N 91st Ave Unit 1119",
            "city": "Glendale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853053092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Goldwater Legacy Assisted Living LLC
• Ram Goli
• Richard L Golub, MD
• G. Reshmaal Deepthi Gomes Cumaranatunge, MD
• Juan Gabriel Gomez, PMHNP
• Miquel Dean Gomez II, MD
• Salina Gomez, LAC
• Zyana Gomez
• Tealai Raechal Gonella
• Karen Patricia Gonsalves-Wetherell, MD

• Clinical Social Worker in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.