Siria Gomez-Castillo, MSW, LCSW
Individual provider Active NPI Clinical Social Worker · Corcoran, CA
NPI 1841808490 · NPPES record last updated Jul 24, 2020
Key facts
- NPI
- 1841808490
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LCSW92705 (CA)
- Practice address
- 900 Quebec Ave
Corcoran, CA 93212-9715 - Phone
- (559) 992-7100
- NPI assigned
- Jul 20, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| LCSW92705 | CA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW92705 | CA | Yes |
Addresses
Primary practice location
900 Quebec Ave
Corcoran, CA 93212-9715
Mailing address
PO Box 983
Porterville, CA 93258-0983
Phone (559) 560-6689
Other providers in Corcoran, CA
- Gene Woo Kim DDS Inc
- Kamel Germanos
- Kirk Muno Gerstel
- Garen Gharakhanian
- Rasheed Giwa
- Jesse Maturino Gonzales
- Jeffrey Grisham
- Hani Makram Guirguis
- Anthony Hales
- Elliana M Hampton
All providers in Corcoran, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2020. 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.