Rosa Josephine Gamboa, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW.09930031 Issued in CO

Practice address

151 Miller Ranch Rd
Edwards, CO 81632-6420

Phone

(970) 569-5397

NPI assigned

Jan 11, 2024

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

Enrolled in CO

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Eagle Valley Mental Health

  • Community/Behavioral Health Agency
  • Edwards, CO
  • NPI 1972267292
  Medicare reassignment NPD
• Eagle Valley Mental Health

  • Community/Behavioral Health Agency
  • Vail, CO
  • NPI 1063210946
  NPD
• Eagle Valley Mental Health

  • Community/Behavioral Health Agency
  • Edwards, CO
  • NPI 1619648128
  NPD

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

{
    "created_epoch": "1704931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1598536286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2127",
            "city": "EAGLE",
            "state": "CO",
            "postal_code": "816312127",
            "telephone_number": "970-306-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 MILLER RANCH RD",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "816326420",
            "telephone_number": "970-569-5397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBOA",
        "first_name": "ROSA",
        "middle_name": "JOSEPHINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09930031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miranda Maria Filippides, PH.D.
• Annemarie Finn, MS. CCC-SLP
• Meredith Foster
• Philip Ellis Freedman, MD
• Kurt R Gabrielson, CRNA
• Howard James Garel, DDS
• Jaclyn K Garvey, MPT
• Allison Gelvin
• Jay Gilbert, N.D.
• Michael R Gnacinski, ATC

• Clinical Social Worker in Edwards, CO
• Providers in Edwards, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.