Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miriam Lucero Gomez Tello, ASW

Individual provider Clinical Social Worker · NPI 1609541929

Miriam Lucero Gomez Tello, ASW is a Clinical Social Worker in Reseda, California. Licensed in California. Registered with an NPI since 2021.

Licensed in
CA
In the registry since
2021

Practice location Address checks out

17922 Keswick St
Reseda, CA 91335-2156
Phone: (213) 377-6584
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 85311 (CA)

Record details

NPI number1609541929
Entity typeIndividual (Type 1)
GenderFemale
Credentials ASW
Sole proprietorNo
NPI enumeratedAugust 9, 2021
Last updated in NPPESAugust 9, 2021
Certification dateAugust 9, 2021

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