Active NPI
Lisa Gomez, LCSW
- Clinical Social Worker
- Edinburg, TX
National Provider Identifier
1609305416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 56360
- Practice address
- 525 W Wisconsin Rd
Edinburg, TX 78539 - Phone
- (956) 287-9754
- NPI assigned
- Jun 6, 2017
- Last updated
- Jul 23, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 56360 | TX | Primary |
Addresses
Primary practice location
525 W Wisconsin Rd
Edinburg, TX 78539
Mailing address
3612 Illeana St
Edinburg, TX 78539-2180
Phone (956) 207-2403
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56360 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532304000000",
"number": "1609305416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3612 ILLEANA ST",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785392180",
"telephone_number": "956-207-2403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 W WISCONSIN RD",
"city": "EDINBURG",
"state": "TX",
"postal_code": "78539",
"telephone_number": "956-287-9754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "LISA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-06",
"last_updated": "2018-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "56360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edinburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.