Jaime Gomez, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW7305 Issued in FL

Practice address

6252 Lee Vista Blvd
Orlando, FL 32822-5148

Phone

(772) 236-2745

NPI assigned

Jan 4, 2013

Last updated

Jun 30, 2023By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1357257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1700123155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6252 LEE VISTA BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328225148",
            "telephone_number": "772-236-2745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6252 LEE VISTA BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328225148",
            "telephone_number": "772-236-2745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "JAIME",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-04",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "148",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW7305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fabiola Gomez
• Fernando L. Gomez, MD
• Frankie Miguel Gomez, DMD, MD
• Gladys Gomez
• Ivette R Gomez, OTR/L
• Jennifer Gomez
• Joselin Gomez
• Leeya Renee Gomez, PA-C
• Legna Gomez
• Leslie Alejandra Gomez, ATC, LAT

• Clinical Social Worker in Orlando, FL
• Providers in Orlando, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.