Individual
CONSUELO GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
PO BOX 60633, LOS ANGELES, CA 90060-0633
(323) 854-2953
Mailing address
PO BOX 60633, LOS ANGELES, CA 90060-0633
(323) 854-2953
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
137417
CA
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
09/09/2010
Last updated
04/07/2026
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