Hollie Marie Gomez, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C005885 Issued in NC

Practice address

1647 NE Ashley School Cir
Winston Salem, NC 27105-5444

Phone

(336) 703-4205

NPI assigned

Sep 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: hgomez668383@direct.ochin.org

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1801999693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 2ND AVE",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280524358",
            "telephone_number": "704-874-1904",
            "fax_number": "704-865-4614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1647 NE ASHLEY SCHOOL CIR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271055444",
            "telephone_number": "336-703-4205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271014206",
            "country_code": "US",
            "telephone_number": "336-607-8523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "HOLLIE",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6106837",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Howard Golwyn Jr., MD
• Arvind Muralimohan Gomadam, MD
• Pallavi Sharma Gomadam, MD
• Maria Alejandra Gomez Mihalik, PA-C
• Erilen Ana Gomez, COTA/L
• Mutsuko Gonokami-Curia, OTR/L
• Clifford Fontanilla Gonzales, CRNA
• Mary Alice Gonzales, LPCA
• Savannah Rae Gonzales, CCC-SLP
• Stephanie E Gonzales

• Clinical Social Worker in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.