Individual provider · Type 1 NPI

Susana Gomora

Clinical Social Worker · Portland, OR

NPI number 1770764334 Active

Practice location

209 SW 4th Ave Ste 520
Portland, OR 97204-1825

Fax (503) 988-4386

Other practice locations

  • 9650 Zelzah Ave, Northridge, CA 91325-2003 · (818) 993-9311

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XLCSW60939 (CA)
Clinical Social Worker Primary 1041C0700XL15606 (OR)

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 1770764334

Susana Gomora's National Provider Identifier is 1770764334, issued on Nov 23, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on Sep 28, 2026.