Summer Davidson Gomez in Commerce - Clinical
Summer Davidson Gomez - NPI 1073684536
Summer Davidson Gomez is a Clinical in Commerce, California. Summer Davidson Gomez practices all healthcare services and medical treatments related to Clinical. The NPI Number for Summer Davidson Gomez is 1073684536. The last update date is 2018-10-09.
Summer Davidson Gomez's current location address is 5628 E Slauson Ave, Commerce, California. You can contact this provider via phone number 8185881583. The mailing address for Summer Davidson Gomez is 5628 E Slauson Ave, Commerce, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Summer Davidson Gomez |
|---|---|
| Address | 5628 E Slauson Ave, Commerce, California |
| Phone Number | 8185881583 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1073684536 |
|---|---|
| Provider Enumeration Date | 2006-11-13 |
| Last Updated Date | 2018-10-09 |
Provider Mailing Address Detail
| Address | 5628 E Slauson Ave |
|---|---|
| City | Commerce |
| State | California (CA) |
| Post Code | 900402922 |
| Phone Number | 8185881583 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 25416 |
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Definition: 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, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| #95-2633765 | CA | MEDI-CAL |
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What is the unique identifier code issued to Summer Davidson Gomez by the Centers for Medicare & Medicaid Services (CMS)?
The Summer Davidson Gomez has been assigned the NPI (National Provider Identifier) 1073684536. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Summer Davidson Gomez located?
The Summer Davidson Gomez is located at 5628 E Slauson Ave, Commerce, CA 900402922.
What is Summer Davidson Gomez's area of expertise and its corresponding taxonomy classification?
The Summer Davidson Gomez's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Summer Davidson Gomez receive its 1073684536 assignment from the Centers for Medicare & Medicaid Services?
The Summer Davidson Gomez was assigned its 1073684536 by the Centers for Medicare & Medicaid Services on 2006-11-13.
When was the information regarding Summer Davidson Gomez most recently updated?
The details pertaining to the Summer Davidson Gomez, including its address, specialty, and other relevant information, were last refreshed on 2018-10-09.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA