Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SUSANA GOMORA
NPI 1770764334
Social Worker - Clinical in Portland, OR

Q: What is Susana Gomora's NPI number?

The NPI number for Susana Gomora is 1770764334. It was assigned to this individual provider in the NPPES registry on November 23, 2007.

Q: What is Susana Gomora's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Susana Gomora was last updated on September 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.

Active since November 23, 2007

209 SW 4TH AVE STE 520, PORTLAND, OR 97204(971) 710-4424(503) 988-4386 Get Directions Write a Review

NPPES record last updated: September 28, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 28, 2026, Jun 14, 2023 (2 updates tracked since 2023).

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About Susana Gomora NPPES

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

SUSANA GOMORA (NPI 1770764334) is an individual clinical provider in Portland, Oregon, licensed in Oregon (L15606) and active in the NPI registry since November 2007. She maintains a secondary practice location in Northridge.

NPPES Registry Identity

NPI1770764334

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameSUSANA GOMORA

Location Address209 SW 4TH AVE STE 520Portland, OR 97204-1825

Mailing Address209 Sw 4th Ave Ste 520Portland, OR 97204-1825 · (503) 988-5464 · Fax (503) 988-4015

Phone(971) 710-4424

Fax(503) 988-4386

Sole ProprietorYes

Enumeration DateNovember 23, 2007

Last NPPES UpdateSeptember 28, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 28, 2026

✔ NPI 1770764334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Licenses✔ Licensed in OR · L15606✔ Licensed in CA · LCSW60939

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.

209 SW 4TH AVE STE 520, Portland, OR 97204

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Secondary Practice Location 1

Location 19650 Zelzah AveNorthridge, CA 91325-2003 · Phone (818) 993-9311

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDERS AMADEUS KASS THW YPSS

Peer Specialist