MEDICARE: ANGELICA GISELLE GOMEZ SENCION LSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	44SL07414700	NJ

General Provider Information

NPI Number	:	1154270551
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELICA GISELLE GOMEZ SENCION LSW

Provider Business Mailing Address
First Line	:	71 HARRISON ST APT 2A
Second Line	:
City	:	BELLEVILLE
State	:	NJ
Zip	:	07109-3598
Country	:	US
Telephone Number	:	862-202-0550
Fax Number	:

Provider Business Practice Location Address
First Line	:	71 HARRISON ST APT 2A
Second Line	:
City	:	BELLEVILLE
State	:	NJ
Zip	:	07109-3598
Country	:	US
Telephone Number	:	862-201-3226
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2026
Last Update Date	:	02/11/2026

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