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MRS. MICHELLE GOMEZ-SALAZAR LCSW
NPI 1720391683
Social Worker - Clinical in Ladera Ranch, CA

Active since July 21, 2010Opted out of Medicare · through Dec 4, 2027
76 MERCANTILE WAY, LADERA RANCH, CA 92694(949) 422-3951 Get Directions Write a Review

NPPES record last updated: May 15, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Michelle Gomez-salazar Lcsw NPPES

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

MRS. MICHELLE GOMEZ-SALAZAR LCSW (NPI 1720391683) is an individual clinical provider in Ladera Ranch, California, licensed in New York (079801) and active in the NPI registry since July 2010. She has opted out of Medicare through December 4, 2027.

NPPES Registry Identity

NPI1720391683
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. MICHELLE GOMEZ-SALAZARCredential: LCSW
Location Address76 MERCANTILE WAYLadera Ranch, CA 92694-0431
Mailing Address23710 El Toro Rd # 1011Lake Forest, CA 92630-4711 · (949) 422-3951
Phone(949) 422-3951
Sole ProprietorYes
Enumeration DateJuly 21, 2010
Last NPPES UpdateMay 15, 2023
NPPES CertifiedMay 15, 2023
✔ NPI 1720391683 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 NY · 079801
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.
76 MERCANTILE WAY, Ladera Ranch, CA 92694
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Michelle Gomez-salazar Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 4, 2023 through December 4, 2027.

Opt-Out Effective DateDecember 4, 2023
Opt-Out In Effect ThroughDecember 4, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Michelle Gomez-salazar's NPI number?

The NPI number for Michelle Gomez-salazar is 1720391683. It was assigned to this individual provider in the NPPES registry on July 21, 2010.

Where is Michelle Gomez-salazar located?

Michelle Gomez-salazar practices at 76 Mercantile Way, Ladera Ranch, CA 92694. The listed phone number is (949) 422-3951.

What is Michelle Gomez-salazar's specialty?

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

Is Michelle Gomez-salazar enrolled in Medicare?

No. Michelle Gomez-salazar has opted out of Medicare through December 4, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Michelle Gomez-salazar was last updated on May 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.