Individual provider Active NPI

Natalie Rosa Gomez

  • Social Worker
  • Rock Hill, SC
National Provider Identifier
1790543940
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
16693 Issued in SC
Practice address
222 E Main St FL 3
Rock Hill, SC 29730-4542
Phone
(803) 805-7315
NPI assigned
Mar 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 16693 SC Primary

Addresses

Primary practice location

222 E Main St FL 3
Rock Hill, SC 29730-4542

Mailing address

1715 Clemmon Sanders Cir
Rock Hill, SC 29732-7647
Phone (864) 509-7615

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

LicenseStateTypeSpecialty
16693SCMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TJR Enterprises Inc CurrentSince Mar 17, 2024 Accepting new patients

Locations

222 E Main St
Fl 3
Rock Hill, SC 29730
Phone (803) 805-7315

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.

NPI Registry JSON

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

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1790543940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 CLEMMON SANDERS CIR",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297327647",
            "telephone_number": "864-509-7615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E MAIN ST FL 3",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297304542",
            "telephone_number": "803-805-7315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "NATALIE",
        "middle_name": "ROSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SC",
            "license": "16693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.