MS. SOCORRO MARIA GOMEZ (NPI# 1396882874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396882874 |
| Entity Type | Individual |
| Full Name | MS. SOCORRO MARIA GOMEZ |
| Other Name | MS. SOCORRO MARIA GOMEZ |
| Credential | LICENSED MFT |
| Practice Address |
17216 Slover Ave Bldg L Fontana CA 92337-7580 |
| Mailing Address |
933 Azure Ct Upland CA 91786-6408 |
| Practice Telephone | 9098543420 |
| Mailing Telephone | 9092107581 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2015-04-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFC 45862 | CA | Behavioral Health & Social Service Providers |
| Street Address |
17216 SLOVER AVE BLDG L |
| City | FONTANA |
| State | CA |
| Zip Code | 92337-7580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437630324 | Bobby Lou Moll | Dietitian, Registered | 11967 Savona Dr., Fontana, CA 92337 | 2018-08-28 |
| 1629587001 | Esther Muteti | Registered Nurse | 11468 Old Spring Rd, Fontana, CA 92337 | 2017-09-28 |
| 1992158307 | Crystalina Alvarez | Marriage & Family Therapist | 17210 Slover Ave, Fontana, CA 92337 | 2016-07-20 |
| 1659782787 | Russell Laroy Johnson | Contractor | 11629 Sueno Ct., Fontana, CA 92337 | 2014-05-12 |
| 1295151363 | Mccall Stephens | Marriage & Family Therapist | 15511 Colt Ave, Fontana, CA 92337 | 2014-03-12 |
| 1356780803 | Cynthia Lee Wright I | Registered Nurse | 17216 Slover Avenue, Building L, Fontana, CA 92337 | 2013-06-18 |
| 1649459652 | Rebecca Ann Carpio-darshay | Nurse Practitioner | 17296 Slover Avenue, Fontana, CA 92337 | 2007-10-25 |
| 1205025731 | Karen Garcia-herrera | Dietitian, Registered | 17296 Slover Ave, Palm Court 1, Fontana, CA 92337 | 2007-10-22 |
| 1205914546 | Felecia Green | Physician Assistant | 10650 Sierra Ave Ste B, Fontana, CA 92337 | 2006-11-02 |
| 1417049933 | Shauna Nichele Lowry | Orthotist | 16200 Coleen St, Suite A, Fontana, CA 92337 | 2006-09-29 |
| Find all providers in zip 92337 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779861 | Marissa Lehto | Marriage & Family Therapist | 6135 La Costa, Fontana, CA 92336-5683 | 2020-10-27 |
| 1407474349 | Nancy Louise Felix | Marriage & Family Therapist | 16001 Chase Rd Unit 50, Fontana, CA 92336-5083 | 2020-07-07 |
| 1396213567 | Summer Dowd-lukesh | Marriage & Family Therapist | 17057 Foothill Blvd, Fontana, CA 92335-3574 | 2018-11-06 |
| 1568961183 | Jordan Frailey | Marriage & Family Therapist | 9161 Sierra Ave. Suite 213, Fontana, CA 92336 | 2018-02-09 |
| 1205360575 | Pamela Burney | Marriage & Family Therapist | 15213 Willow Wood Ln, Fontana, CA 92336-0786 | 2017-04-13 |
| 1275065393 | Alyssa Calderon | Marriage & Family Therapist | 14335 Quail Ct, Fontana, CA 92336 | 2017-03-29 |
| 1992158307 | Crystalina Alvarez | Marriage & Family Therapist | 17210 Slover Ave, Fontana, CA 92337 | 2016-07-20 |
| 1801271499 | Maria De Jesus Nunez-flores | Marriage & Family Therapist | 16823 Arrow Blvd, Fontana, CA 92335-3803 | 2015-07-23 |
| 1003210899 | Cornerstone Counseling | Marriage & Family Therapist | 15292 Duncan Canyon Rd, Fontana, CA 92336-1210 | 2014-10-22 |
| 1295151363 | Mccall Stephens | Marriage & Family Therapist | 15511 Colt Ave, Fontana, CA 92337 | 2014-03-12 |
| Find all providers in FONTANA | ||||
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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.