Provider Demographics
NPI:1255064101
Name:GOSSE, VERA FISHER (MSW, LCSW)
Entity type:Individual
Prefix:MRS
First Name:VERA
Middle Name:FISHER
Last Name:GOSSE
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2883 NW 138TH TER
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32606-9315
Mailing Address - Country:US
Mailing Address - Phone:513-807-3367
Mailing Address - Fax:
Practice Address - Street 1:2883 NW 138TH TER
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32606-9315
Practice Address - Country:US
Practice Address - Phone:513-807-3367
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-07
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical