Individual provider · Type 1 NPI

Miriam Guadalupe Gomez

Clinical Social Worker · Lancaster, CA

NPI number 1104554401 Active

Practice location

45111 Fern Ave
Lancaster, CA 93534-2301

Call (661) 949-1206 Map

Mailing address

567 W Lancaster Blvd Unit 419
Lancaster, CA 93584-7016

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW137431 (CA)
Clinical Social Worker 1041C0700X120010 (CA)
Student in an Organized Health Care Education/Training Program 390200000XNone 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 1104554401

Miriam Guadalupe Gomez's National Provider Identifier is 1104554401, issued on Aug 13, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lancaster, CA. The record was last updated on Mar 17, 2026.