Ilse M Gomez-Avila, LCSW
Social Worker, Clinical in Fort Lee, New Jersey
1386030450- Practice location
- 1450 Westgate Dr, Fort Lee, NJ 07024-2171
- Phone
- 646-246-7354
- Fax
- —
- Last updated
- April 15, 2015
Ilse M Gomez-Avila is a Social Worker, Clinical based in Fort Lee, NJ. Ilse M Gomez-Avila practices in Fort Lee, NJ and has the professional credentials of LCSW. The NPI Number for Ilse M Gomez-Avila is 1386030450 and holds a License No. 730818835 (NY). The current practice location address for Ilse M Gomez-Avila is 1450 Westgate Dr, Fort Lee, NJ 07024-2171 and can be reached out via phone at 646-246-7354.
Provider Profile Details
- NPI Number
- 1386030450
- Provider Name
- Ilse M Gomez-Avila
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1450 Westgate Dr, Fort Lee, NJ 07024-2171
- Phone Number
- 646-246-7354
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 15, 2015
- Last Update Date
- April 15, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1450 Westgate Dr
Fort Lee, NJ 07024-2171 - City
- Fort Lee
- State
- New Jersey
- Zip
- 07024-2171
- Phone Number
- 646-246-7354
Provider Business Mailing Address Details
- Address
- 1450 Westgate Dr
Fort Lee, NJ 07024-2171 - City
- Fort Lee
- State
- NJ
- Zip
- 07024-2171
- Phone Number
- 646-246-7354
License Information
- License Number
- 730818835
- License State
- NY
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Ilse M Gomez-Avila, LCSW?
The NPI number of Ilse M Gomez-Avila, LCSW is 1386030450. It was assigned on April 15, 2015 and is currently active in the NPPES registry.
What is the specialty of Ilse M Gomez-Avila, LCSW?
Ilse M Gomez-Avila, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NY under license number 730818835.
Where does Ilse M Gomez-Avila, LCSW practice?
The practice location is 1450 Westgate Dr, Fort Lee, NJ 07024-2171. The office can be reached at 646-246-7354 (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 1386030450 directly on the NPPES registry website.