Jeanna P Gomez, LCSW, LISW, LADAC, is a
Social Worker - Clinical based in Houston, Texas. Jeanna P Gomez is licensed to practice in Texas (license number 41875) and her current practice location is
6300 West Loop S, Suite 575, Houston, Texas. She can be reached at her office (for appointments etc.) via phone at
(713) 660-0776.
NPI number for Jeanna P Gomez is 1417988353 and her current mailing address is 6300 West Loop S, Suite 575, Houston, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417988353.
Healthcare Provider's Profile
| Full Name | Jeanna P Gomez |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 6300 West Loop S, Houston, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1417988353
- Provider Enumeration Date: 07/06/2006
- Last Update Date: 10/01/2008
Medical Identifiers
Medical identifiers for Jeanna P Gomez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417988353 | NPI | - | NPPES |
| 06332803 | Medicaid | NM | |
| 181965802 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 3654 (New Mexico) | Secondary |
| 104100000X | Social Worker | I04876 (New Mexico) | Secondary |
| 1041C0700X | Social Worker - Clinical | 41875 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jeanna P Gomez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jeanna P Gomez, LCSW, LISW, LADAC,
6300 West Loop S, Suite 575,
Houston, TX 77401-2900
Ph: (713) 660-0776 | Jeanna P Gomez, LCSW, LISW, LADAC,
6300 West Loop S, Suite 575,
Houston, TX 77401-2900
Ph: (713) 660-0776 |
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