Lori Beth Gomez, LMSW, LADAC is a
Social Worker based in Penasco, New Mexico. Lori Beth Gomez is licensed to practice in New Mexico (license number M-05573) and her current practice location is
Picuris Pueblo, 201 A Pueblo View Rd., Penasco, New Mexico. She can be reached at her office (for appointments etc.) via phone at
(575) 587-2519.
NPI number for Lori Beth Gomez is 1083959845 and her current mailing address is Po Box 127, Penasco, New Mexico. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083959845.
Healthcare Provider's Profile
Full Name | Lori Beth Gomez |
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Gender | Female |
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Speciality | Social Worker |
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Location | Picuris Pueblo, Penasco, New Mexico |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1083959845
- Provider Enumeration Date: 12/05/2012
- Last Update Date: 07/20/2021
Medical Identifiers
Medical identifiers for Lori Beth Gomez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083959845 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | CAD0134501 (New Mexico) | Secondary |
104100000X | Social Worker | M-05573 (New Mexico) | 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. Lori Beth 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 |
Lori Beth Gomez, LMSW, LADAC Po Box 127, Penasco, NM 87553-0127 Ph: (575) 587-2519 | Lori Beth Gomez, LMSW, LADAC Picuris Pueblo, 201 A Pueblo View Rd., Penasco, NM 87553 Ph: (575) 587-2519 |
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