MEDICARE: ELIZABETH PROPA GOMES LMSW, CASAC-T

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	130634	NY
2	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1912687922
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH PROPA GOMES LMSW, CASAC-T

Provider Business Mailing Address
First Line	:	3-1 27TH AVENUE
Second Line	:
City	:	ASTORIA
State	:	NY
Zip	:	11102
Country	:	US
Telephone Number	:	718-599-9094
Fax Number	:

Provider Business Practice Location Address
First Line	:	3-1 27TH AVENUE ASTORIA
Second Line	:
City	:	ASTORIA
State	:	NY
Zip	:	11102
Country	:	US
Telephone Number	:	718-599-9094
Fax Number	:

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

Provider Enumeration Date	:	07/24/2023
Last Update Date	:	06/09/2026

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