Angela Gomez, LCSW
Individual provider Active NPI Clinical Social Worker · Brazoria, TX
NPI 1578281135 · NPPES record last updated Aug 29, 2022
Key facts
- NPI
- 1578281135
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 61983 (TX)
- Practice address
- 2177 County Road 851
Brazoria, TX 77422-9545 - Phone
- (979) 665-3276
- NPI assigned
- Aug 19, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 7
Medicare Care Compare profile
- 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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240307002317 | TX | Practitioner - Clinical Social Worker | 3971949363 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61983 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stephen F. Austin Community Health Center, Inc. | Current |
Accepting new patients | |
| Thrive in Vida Counseling and Consulting LLC | Current |
Accepting new patients | |
| Stephen F Austin Community Health Center,Inc | Current |
Accepting new patients | |
| Supportive Care LLC | Current |
Accepting new patients |
Locations
27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951
1112 Smith Dr
Alvin, TX 77511
Phone (281) 331-3001
1111 W Adoue St
Alvin, TX 77511
Phone 2818241480 ext. 1594
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 61983 | TX | Yes |
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
Other providers in Brazoria, TX
- Lisa Michelle Brunner
- Felicia Nichole Chretien
- Virginia Frankum
- Stephanie Ellen Gartman
- Gentle Helping Hands Inc
- Hailey Halfmann
- Etha Lyane Harris
- Marcus Eric Hinkle
- Howell Senior Care Services, LLC
- Hughes Chiropractic, P.C.
All providers in Brazoria, TX · Clinical Social Worker in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.