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NPI Code Detail

MEDICARE: LUZ ESTELA GOMEZ-CASSERES LCSW

MEDICARE:   LUZ ESTELA GOMEZ-CASSERES  LCSW
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
11041C0700XClinical Social WorkerCW016522PA
21041C0700XClinical Social Worker9207-CNV
31041C0700XClinical Social WorkerSW20261FL

General Provider Information

NPI Number : 1063715654
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUZ ESTELA GOMEZ-CASSERES LCSW
Provider Business Mailing Address
First Line : 6019 MILESTONE DR
Second Line :
City : APOLLO BEACH
State : FL
Zip : 33572-2611
Country : US
Telephone Number : 484-550-0382
Fax Number :
Provider Business Practice Location Address
First Line : 5357 EHRLICH RD
Second Line :
City : TAMPA
State : FL
Zip : 33625-5505
Country : US
Telephone Number : 855-417-2486
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2010
Last Update Date : 07/26/2023

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Directions to “ LUZ ESTELA GOMEZ-CASSERES LCSW” Practice Location

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