Individual provider Active NPI

Caryl Gobel, LCSW

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1285923938
Registry record updated Apr 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5953 Issued in NV
Practice address
1501 Arville St
Las Vegas, NV 89102-3838
Phone
(702) 259-4646
NPI assigned
Apr 4, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5953 NV Primary

Addresses

Primary practice location

1501 Arville St
Las Vegas, NV 89102-3838

Mailing address

1501 Arville St
Las Vegas, NV 89102-3838
Phone (702) 259-4646

Other identifiers 1

IdentifierTypeStateIssuer
5953OtherNVNV LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221202002575 AZ Practitioner - Clinical Social Worker 8325417942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Az Therapy LLCGroup PAC ID 6507119005, 2 clinicians

Practice addresses (Care Compare)

2633 E Indian School Rd
Suite 250
Phoenix, AZ 85016-0703
Phone (424) 465-3058

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5953NVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Az Therapy LLC Clinical CurrentSince Nov 2, 2022 Accepting new patients

Locations

2633 E Indian School Rd
Ste 250
Phoenix, AZ 85016
Phone (424) 465-3058

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301875200000",
    "number": "1285923938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 ARVILLE ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891023838",
            "telephone_number": "702-259-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 ARVILLE ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891023838",
            "telephone_number": "702-259-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOBEL",
        "first_name": "CARYL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-04",
        "last_updated": "2011-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "5953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NV LICENSE NUMBER",
            "identifier": "5953",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.