Active NPI
Marissa D Rodriguez Gomes, LSW
- Social Worker
- Irvington, NJ
National Provider Identifier
1902489040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 44SL07393900
- Practice address
- 192 Laurel Ave
Irvington, NJ 07111-1331 - Phone
- (559) 903-1953
- NPI assigned
- May 5, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | F5340450 | CA | |
| Social Worker | 104100000X | 44SL07393900 | NJ | Primary |
| School Social Worker | 1041S0200X | 01724051 | NJ | |
| Athletic Trainer | 2255A2300X | 716767053 | NY | |
| School Social Worker | 1041S0200X | 1933343251 | NY | |
| Social Worker | 104100000X | 126020 | NY |
Addresses
Primary practice location
192 Laurel Ave
Irvington, NJ 07111-1331
Mailing address
192 Laurel Ave
Irvington, NJ 07111-1331
Phone (559) 903-1953
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WS72598A | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F5340450 | CA | MD | Athletic Trainer |
| 716767053 | NY | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780963200000",
"number": "1902489040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "192 LAUREL AVE",
"city": "IRVINGTON",
"state": "NJ",
"postal_code": "071111331",
"telephone_number": "559-903-1953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "192 LAUREL AVE",
"city": "IRVINGTON",
"state": "NJ",
"postal_code": "071111331",
"telephone_number": "559-903-1953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ GOMES",
"first_name": "MARISSA",
"middle_name": "D",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-05",
"last_updated": "2026-06-09",
"certification_date": "2026-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "CA",
"license": "F5340450",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "44SL07393900",
"primary": true
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NJ",
"license": "01724051",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NY",
"license": "716767053",
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NY",
"license": "1933343251",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "126020",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "WS72598A",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Irvington, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.