Individual provider Active NPI

Lauren Gomez, LCSW

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1619489564
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-11045
Practice address
4201 Carlisle Blvd NE
Albuquerque, NM 87107-4808
Phone
(505) 220-6633
Fax
(505) 220-6633
NPI assigned
Nov 1, 2017
Last updated
Dec 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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 C-11045 Primary

Addresses

Primary practice location

4201 Carlisle Blvd NE
Albuquerque, NM 87107-4808

Mailing address

12212 Palm Springs CT NE
Albuquerque, NM 87111-5423
Phone (505) 220-6633

Other identifiers 1

IdentifierTypeStateIssuer
NAMedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20200225000162 NM Practitioner - Clinical Social Worker 4284963570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
High Desert HealingGroup PAC ID 2769711050, 14 clinicians

Practice addresses (Care Compare)

4201 Carlisle Blvd NE
Albuquerque, NM 87107-4808
Phone (505) 717-1332

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
High Desert Healing Social Worker Current Accepting new patients
Enchantment Counseling PastSince Feb 7, 2021 Accepting new patients

Locations

4201 Carlisle Blvd NE
Albuquerque, NM 87107
Phone (505) 717-1332

Organizations & group practices 3

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": "1509494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1619489564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12212 PALM SPRINGS CT NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871115423",
            "telephone_number": "505-220-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 CARLISLE BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871074808",
            "telephone_number": "505-220-6633",
            "fax_number": "505-220-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "LAUREN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-01",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "C-11045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NA",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.