Active NPIIndividual providerSole proprietor

Kellynette M Gomez, LCSW, MSW

Social Worker, Clinical in East Boston, Massachusetts

NPI Number1184215022
Practice location
530 Border St, East Boston, MA 02128-2432
Fax
—
Last updated
February 2, 2021

Kellynette Marie Gomez is a Social Worker, Clinical based in East Boston, MA. Kellynette Marie Gomez practices in East Boston, MA and has the professional credentials of LCSW, MSW. The NPI Number for Kellynette Marie Gomez is 1184215022 and holds a License No. 225552 (MA). The current practice location address for Kellynette Marie Gomez is 530 Border St, East Boston, MA 02128-2432 and can be reached out via phone at 617-568-2892.

Provider Profile Details

NPI Number
1184215022
Provider Name
Kellynette Marie Gomez
Credential
LCSW, MSW
Provider Entity Type
Individual
Gender
Female
Address
530 Border St, East Boston, MA 02128-2432
Phone Number
617-568-2892
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
February 2, 2021
Last Update Date
February 2, 2021
Certification Date
February 2, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
530 Border St
East Boston, MA 02128-2432
Zip
02128-2432
Phone Number
617-568-2892
East Boston, MA 02128Get directions →

Provider Business Mailing Address Details

Address
9 Harrison St Apt 1
Stoneham, MA 02180-4352
City
Stoneham
State
MA
Zip
02180-4352
Phone Number
413-241-3003

License Information

License Number
225552
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kellynette M Gomez, LCSW, MSW?

The NPI number of Kellynette M Gomez, LCSW, MSW is 1184215022. It was assigned on February 2, 2021 and is currently active in the NPPES registry.

What is the specialty of Kellynette M Gomez, LCSW, MSW?

Kellynette M Gomez, LCSW, MSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 225552.

Where does Kellynette M Gomez, LCSW, MSW practice?

The practice location is 530 Border St, East Boston, MA 02128-2432. The office can be reached at 617-568-2892 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1184215022 directly on the NPPES registry website.

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