| Doctor Name: | NICHOLAS GOMULINSKI |
| NPI Number: | 1063886190 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LISW |
| License Number: | I.15000567 |
| Business Practice Address: | 11781 State Route 762 Orient, OH - 431469008 |
| Business Phone Number: | 6148774362 |
| Business Fax Number: | |
| Mailing Address: | 11781 St. Route 762, ORIENT |
| State: | OH |
| Postal Code: | 43146 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 12/01/2015 |
| NPI Last Update Date: | 12/01/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | I.15000567 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |