Individual provider Active NPI

Angela Gomez, LCSW

  • Clinical Social Worker
  • Brazoria, TX
National Provider Identifier
1578281135
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
61983 Issued in TX
Practice address
2177 County Road 851
Brazoria, TX 77422-9545
Phone
(979) 665-3276
NPI assigned
Aug 19, 2022
Last updated
Aug 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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 61983 TX Primary

Addresses

Primary practice location

2177 County Road 851
Brazoria, TX 77422-9545

Mailing address

2177 County Road 851
Brazoria, TX 77422-9545
Phone (979) 665-3276

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240307002317 TX Practitioner - Clinical Social Worker 3971949363 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

135 Oyster Creek Dr
Suite S
Lake Jackson, TX 77566-4117
Phone (979) 266-0485

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61983TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive in Vida Counseling and Consulting LLC CurrentSince Sep 30, 2024 Accepting new patients
Supportive Care LLC CurrentSince Feb 3, 2024 Accepting new patients
Stephen F. Austin Community Health Center, Inc. CurrentSince Nov 11, 2024 Accepting new patients
Stephen F Austin Community Health Center,Inc CurrentSince Nov 11, 2024 Accepting new patients

Locations

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

1111 W Adoue St
Alvin, TX 77511
Phone 2818241480 ext. 1594

1112 Smith Dr
Alvin, TX 77511
Phone (281) 331-3001

1830 7th St
Ste E
Bay City, TX 77414
Phone (979) 266-0485

2660 Brickyard Rd
Beaumont, TX 77703
Phone (406) 892-1533

1201 Colonel Dr
Garland, TX 75043
Phone (210) 602-1140

1025 W Yeagua St
Groesbeck, TX 76642
Phone (254) 729-3366

6534 Stuebner Airline Rd
Houston, TX 77091
Phone (713) 692-5137

135 Oyster Creek Dr
Ste S
Lake Jackson, TX 77566
Phone (979) 217-1789

825 W Kearney St
Mesquite, TX 75149
Phone (972) 288-7660

7820 Skyline Park Dr
Wht Settlemt, TX 76108
Phone (817) 246-4671

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1578281135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2177 COUNTY ROAD 851",
            "city": "BRAZORIA",
            "state": "TX",
            "postal_code": "774229545",
            "telephone_number": "979-665-3276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2177 COUNTY ROAD 851",
            "city": "BRAZORIA",
            "state": "TX",
            "postal_code": "774229545",
            "telephone_number": "979-665-3276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "ANGELA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-19",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "61983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brazoria, TX

Sources for this page

Verify at the official NPI Registry.