Active NPI
Kathryn Gomez, MSW
- Clinical Social Worker
- Fresno, CA
National Provider Identifier
1922293604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 22672
- Practice address
- 83 E Shaw Ave
Suite #102
Fresno, CA 93710-7620 - Phone
- (559) 226-0167
- Fax
- (559) 226-1559
- NPI assigned
- Sep 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 22672 | CA | Primary |
Addresses
Primary practice location
83 E Shaw Ave
Suite #102
Fresno, CA 93710-7620
Mailing address
354 W Huntsman Ave
Reedley, CA 93654-3969
Phone (559) 638-3063
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266969600000",
"number": "1922293604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "354 W HUNTSMAN AVE",
"city": "REEDLEY",
"state": "CA",
"postal_code": "936543969",
"telephone_number": "559-638-3063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "83 E SHAW AVE",
"address_2": "SUITE #102",
"city": "FRESNO",
"state": "CA",
"postal_code": "937107620",
"telephone_number": "559-226-0167",
"fax_number": "559-226-1559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "KATHRYN",
"name_prefix": "Ms.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-06",
"last_updated": "2010-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "22672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.