Doctor Name: | MS. LISA LAMOYNE GOMIEN |
NPI Number: | 1023232154 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | |
Business Practice Address: | 1497 N La Fox St South Elgin, IL - 601771227 |
Business Phone Number: | 6302086263 |
Business Fax Number: | 8476974717 |
Mailing Address: | 715 Mckinley Ave, GENEVA |
State: | IL |
Postal Code: | 601341230 |
Phone Number: | 6302086263 |
Fax Number: | 8476974717 |
NPI Enumeration Date: | 04/12/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |