Individual provider · Type 1 NPI
Bruce Evaristo Gomez, L.C.S.W.
Clinical Social Worker · Chicago, IL
Practice location
5910 N Virginia Ave
Chicago, IL 60659-3723
Fax (773) 334-6320
Mailing address
1410 Washington St
Evanston, IL 60202-1682
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | None listed |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
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About NPI 1023132958
Bruce Evaristo Gomez, L.C.S.W.'s National Provider Identifier is 1023132958, issued on Mar 17, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chicago, IL. The record was last updated on Jul 8, 2007.