Terri E Gomez, LBSW
Individual provider Active NPI Social Worker · Lordsburg, NM
NPI 1831972199 · NPPES record last updated Aug 18, 2023
Key facts
- NPI
- 1831972199
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- SWB-2023-0203 (NM)
- Practice address
- 401 High St
Lordsburg, NM 88045-1713 - Phone
- (575) 542-9361
- NPI assigned
- Aug 18, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SWB-2023-0203 | NM | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SWB-2023-0203 | NM | Yes |
Addresses
Primary practice location
401 High St
Lordsburg, NM 88045-1713
Mailing address
401 High St
Lordsburg, NM 88045-1713
Phone (575) 542-9361
Other providers in Lordsburg, NM
- Johnny Ray Flores
- Dara Ann Foster
- Jayson Garcia-Gurule
- Genoa Healthcare LLC
- Edgar Eduardo Gomez
- Forrest E Henry
- Hidalgo County
- Hidalgo Medical Services
- Hidalgo Medical Services
- Hidalgo Medical Services
All providers in Lordsburg, NM · Social Worker in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.