Michelle Marie Gerbozy, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

59818 Issued in TX

Practice address

3008 Dawn Dr Ste 101
Georgetown, TX 78628-2822

Phone

(512) 763-2751

NPI assigned

Mar 6, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

• Lighthouse Counseling PLLC

  • Clinical Social Worker
  • Georgetown, TX
  • NPI 1194251694
  Authorized official Same address or phone
• Samaritan Center for Counseling and Pastoral Care, Inc

  • Clinical Social Worker
  • Austin, TX
  • NPI 1881129328
  Authorized official Same address or phone

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1386184737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 HIGHKNOLL LN",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786283203",
            "telephone_number": "808-366-5414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3008 DAWN DR STE 101",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786282822",
            "telephone_number": "512-763-2751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8956 Research Blvd",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787585902",
            "country_code": "US",
            "telephone_number": "512-451-7337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERBOZY",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "59818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgetown Radiology Associates, PLLC.
• Georgetown Sleep Center, P.a.
• Georgetown SNF Operations LLC (Estrella Oaks Rehabilitation and Care Center)
• Georgetown Vision Center PLLC
• Georgetown Women's Center, PA
• Mark Gerdes, PT, MSPT
• Mark R Geyer, M.D.
• Jessica Maccarino Gibson, APRN, FNP-C
• Lauren Hope Gibson, MS, LMFT
• Sarah Ann Gideon, LPC

• Clinical Social Worker in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.