Individual
ANA IRIS GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
128 LAKESIDE AVE STE 260, BURLINGTON, VT 05401-5911
(802) 657-7000
Mailing address
323 AUTUMN POND WAY UNIT 208, ESSEX JUNCTION, VT 05452-4077
(732) 925-3884
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
122065
NY
104100000X
Social Worker
156.0134174
VT
104100000X
Social Worker
44SL06927300
NJ
1041C0700X
Clinical Social Worker
Primary
089.0136599
VT
Other
Enumeration date
01/09/2024
Last updated
01/30/2026
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