JUAN GOMEZ (NPI# 1730723727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730723727 |
| Entity Type | Individual |
| Full Name | JUAN GOMEZ |
| Practice Address |
4217 Sw 64th Ave Ste 1 Davie FL 33314-3446 |
| Mailing Address |
1975 Sw 101st Ave Davie FL 33324-7441 |
| Practice Telephone | 9544321812 |
| Practice Fax Number | 9544327740 |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2019-11-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW16785 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073158051 | Juan Gomez Jr. | Case Manager/Care Coordinator | 106 S. Seventh Avenue, La Puente, CA 91744 | 2019-11-13 |
| 1801322755 | Juan Gabriel Gomez | Nurse Practitioner | 8203 W Oraibi Dr, Apartment 1142, Peoria, AZ 85382-4680 | 2017-05-11 |
| 1871853960 | Juan Angel Gomez | Specialist/Technologist, Other | 215 Saint Jude Dr, Laredo, TX 78041-9100 | 2012-05-22 |
| 1730315946 | Juan A Gomez | Contractor | 1575 Allerton Ave, Bronx, NY 10469-6132 | 2009-06-02 |
| 1235394370 | Juan Jose Gomez | Speech-Language Pathologist | 3013 Fir Ave, Mcallen, TX 78501-8024 | 2008-07-28 |
| 1578553079 | Juan R Gomez | Internal Medicine | Urb Villa Hilda, Calle 1 A5, Yabucoa, PR 00767 | 2005-10-26 |
| 1962045690 | Juan Carlos Gomez | Case Manager/Care Coordinator | 470 E 3rd St Ste C, Los Angeles, CA 90013-1630 | 2019-10-25 |
| 1346890506 | Juan Ignacio Gomez | Case Manager/Care Coordinator | 1350 3rd St, La Verne, CA 91750-5299 | 2019-09-18 |
| 1760942015 | Juan Pablo Gomez | Student in an Organized Health Care Education/Training Program | 1740 W Taylor St, Chicago, IL 60612-7232 | 2019-03-22 |
| 1619446796 | Juan C Gomez | Social Worker | 500 Jefferson Blvd, West Sacramento, CA 95605-2350 | 2018-11-18 |
| Street Address |
4217 SW 64TH AVE STE 1 |
| City | DAVIE |
| State | FL |
| Zip Code | 33314-3446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700120698 | Thomas Joseph Lewis Osder | Nurse Practitioner | 4217 Sw 64th Ave Ste 1, Davie, FL 33314-3446 | 2012-11-16 |
| 1972128015 | Elizabeth Rodriguez | Nurse Practitioner | 4217 Sw 64th Ave Ste 1, Davie, FL 33314-3446 | 2020-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386119949 | Tiffany Allen | Case Manager/Care Coordinator | 6602 Sw 41st Street, Davie, FL 33314 | 2018-10-10 |
| 1053804047 | Shannon Stowe | Specialist/Technologist | 3160 Palm Trace Landings Dr Apt 731, Davie, FL 33314 | 2018-06-13 |
| 1700374238 | Christian D Cameron | Developmental Therapist | 5900 Sw 24th Pl Unit 203, Davie, FL 33314 | 2018-04-30 |
| 1902308836 | Infusion Nurse Experts LLC | Home Health | 4802 Sw 51st Street, Davie, FL 33314 | 2018-03-07 |
| 1134658495 | Luz Arevalo | Behavioral Analyst | 6630 Sw 41 Pl, Davie, FL 33314 | 2017-06-08 |
| 1194253815 | Migdalis Padron | Behavior Technician | 4491 Sw 52nd Ct Apt 8, Fort Lauderdale, FL 33314 | 2017-05-25 |
| 1710240833 | Victor Pabon | Adult Companion | 4828 Sw 47 Lane, Davie, FL 33314 | 2012-06-22 |
| 1437433802 | Laura Maritsa Canciani | Counselor | 6005 Stirling Road #124, Davie, FL 33314 | 2011-10-04 |
| 1770729840 | Therapeeds, Inc. | Occupational Therapist | 5951 Orange Drive, Davie, FL 33314 | 2008-12-19 |
| 1861690851 | Craig Alan Handwerker | Counselor | 4200 Sw 54th Ct, Fort Lauderdale, FL 33314 | 2007-07-11 |
| Find all providers in zip 33314 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003434911 | Vanessa Elisa Galasso | Social Worker | 14641 N Beckley Sq, Davie, FL 33325-3027 | 2020-07-07 |
| 1528681137 | Carol Mirones | Social Worker | 12505 Orange Dr Ste 908, Davie, FL 33330-4300 | 2020-05-19 |
| 1750817292 | Mary Miranda-tourino | Social Worker | 9340 Lagoon Pl Apt 310, Davie, FL 33324-6750 | 2017-05-03 |
| 1073047007 | Elizabeth Cullinane | Social Worker | 3102 Sw 147th Ave, Davie, FL 33330-1053 | 2017-04-17 |
| 1225577851 | Rk Care Group LLC | Social Worker | 5210 S University Dr, Suite 105, Davie, FL 33328-5315 | 2017-02-15 |
| 1780136796 | Hilda Grindell | Social Worker | 4900 S University Dr Ste 207d-8, Davie, FL 33328-3808 | 2016-10-26 |
| 1487021721 | Sunny Philip | Social Worker | 10720 Sw 10th Ct, Davie, FL 33324-4156 | 2015-08-21 |
| 1356658207 | Rachelle Louise Snyder | Social Worker | 4181 S Pine Island Rd, Davie, FL 33328-2833 | 2010-09-13 |
| 1912238957 | Richard Agostinho | Social Worker | 351 Sw 136th Ave, Suite 207, Davie, FL 33325-3153 | 2010-01-14 |
| 1518161785 | Leigh D Ojeda | Social Worker | 9311 Orange Grove Dr Apt 306, Davie, FL 33324-6761 | 2007-06-12 |
| Find all providers in DAVIE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.