Individual provider Active NPI

Laura Gomez-Horton, LCSW

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1760561567
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
32030 Issued in TX
Practice address
2015 S Ih 35 Ste 110
Austin, TX 78741-3810
Phone
(512) 326-1222
NPI assigned
Nov 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

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 32030 TX Primary

Addresses

Primary practice location

2015 S Ih 35 Ste 110
Austin, TX 78741-3810

Mailing address

2219 Klattenhoff Dr
Austin, TX 78728-5480
Phone (512) 965-0830

Other practice location 1

1111 W 24th St
Austin, TX 78705-4654
Phone (512) 965-0830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 1, 2025 through Jul 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646956800000",
    "number": "1760561567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2219 KLATTENHOFF DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787285480",
            "telephone_number": "512-965-0830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 S IH 35 STE 110",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787413810",
            "telephone_number": "512-326-1222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 W 24th St",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787054654",
            "country_code": "US",
            "telephone_number": "512-965-0830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ-HORTON",
        "first_name": "LAURA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "32030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.