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MIRIAM LUCERO GOMEZ TELLO ASW
NPI 1609541929
Social Worker - Clinical in Reseda, CA

Active since August 09, 2021PECOS Enrolled
17922 KESWICK ST, RESEDA, CA 91335(213) 377-6584 Get Directions Write a Review

NPPES record last updated: August 9, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Miriam Lucero Gomez Tello Asw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIRIAM LUCERO GOMEZ TELLO ASW (NPI 1609541929) is an individual clinical provider in Reseda, California, licensed in California (85311) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609541929
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMIRIAM LUCERO GOMEZ TELLOCredential: ASW
Location Address17922 KESWICK STReseda, CA 91335-2156
Mailing Address17922 Keswick StReseda, CA 91335-2156 · (213) 377-6584
Phone(213) 377-6584
Sole ProprietorNo
Enumeration DateAugust 9, 2021
NPPES CertifiedAugust 9, 2021
✔ NPI 1609541929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 85311
Definition
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.
17922 KESWICK ST, Reseda, CA 91335
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miriam Lucero Gomez Tello Asw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Miriam Gomez Tello reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Meridian Counseling
13 mi
Marriage & Family Therapist
11835 W OLYMPIC BLVD STE 815E
Los Angeles, CA 90064
  • Reassigned Medicare billing, California enrollment
  • 79 clinicians in this Medicare group
NPI 1396202206 (323) 332-9905

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91335 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Miriam Gomez Tello's NPI number?

The NPI number for Miriam Gomez Tello is 1609541929. It was assigned to this individual provider in the NPPES registry on August 9, 2021.

Where is Miriam Gomez Tello located?

Miriam Gomez Tello practices at 17922 Keswick St, Reseda, CA 91335. The listed phone number is (213) 377-6584.

What is Miriam Gomez Tello's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Miriam Gomez Tello enrolled in Medicare?

Yes. Miriam Gomez Tello is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Miriam Gomez Tello's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Miriam Gomez Tello reassigns Medicare benefits to Meridian Counseling (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Miriam Gomez Tello's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Miriam Gomez Tello was last updated on August 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.