Marisela Gomez Lazo

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

62262 Issued in TX

Practice address

2900 North Loop W Ste 500
Houston, TX 77092-8826

Phone

(832) 304-8547

NPI assigned

Apr 17, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Trauma and Grief Support Services, PLLC

  • Adolescent and Children Mental Health Clinic/Center
  • Houston, TX
  • NPI 1710608823
  NPD

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

{
    "created_epoch": "1713312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1669227336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6711 STELLA LINK RD # 466",
            "city": "WEST UNIVERSITY PLACE",
            "state": "TX",
            "postal_code": "770054342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 NORTH LOOP W STE 500",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770928826",
            "telephone_number": "832-304-8547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZO",
        "first_name": "MARISELA",
        "middle_name": "GOMEZ",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-17",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "62262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karla Christina Lazarte
• Theresa Lazarte, MSN, RN, FNP-C
• Donald Ray Lazarus Jr., MD
• Kimberly Darlene Lazarus, M.D.
• Eric Joseph Lazo, CRNA
• Sharon Lazorwitz, IBCLC
• Marita F. Lazzaro, RN, ANP, WHNP
• LBJ Laboratory Support Services Corp.
• LBJ Laboratory Support Services, LLC
• LBJ Transportation & Courier Services

• Clinical Social Worker in Houston, TX
• Providers in Houston, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.