Active NPI
Stella Christina Gomez, LMSW
- Social Worker
- Santa Fe, NM
National Provider Identifier
1639945876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SWB-2023-0955
- Practice address
- 4001 Office Court Dr Ste 906
Santa Fe, NM 87507-4929 - Phone
- (505) 310-5654
- NPI assigned
- Nov 29, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | SWB-2023-0955 | NM | Primary |
Addresses
Primary practice location
4001 Office Court Dr Ste 906
Santa Fe, NM 87507-4929
Mailing address
PO Box 449
Tesuque, NM 87574-0449
Phone (505) 983-6158
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SWB-2023-0955 | NM | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Santa Fe Mountain Center Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Tesuque, NM
- NPI 1861695769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701216000000",
"number": "1639945876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 449",
"city": "TESUQUE",
"state": "NM",
"postal_code": "875740449",
"telephone_number": "505-983-6158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4001 OFFICE COURT DR STE 906",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875074929",
"telephone_number": "505-310-5654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "STELLA",
"middle_name": "CHRISTINA",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-29",
"last_updated": "2023-11-29",
"certification_date": "2023-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NM",
"license": "SWB-2023-0955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.