Addison Gomez, LCSW
Individual provider Active NPI Clinical Social Worker · Evansville, IN
NPI 1831074897 · NPPES record last updated Aug 8, 2025
Key facts
- NPI
- 1831074897
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 34010927A (IN)
- Practice address
- 101 N Plaza East Blvd Ste 230
Evansville, IN 47715-2806 - Phone
- (812) 413-0315
- Fax
- (812) 909-3001
- NPI assigned
- Aug 8, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
101 N Plaza E Blvd
Suite 230
Evansville, IN 47715-2806
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250919001231 | IN | Practitioner - Clinical Social Worker | 5698279842 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innerspace Center for Emotional Health LLC | Current |
Accepting new patients |
Locations
101 N Plaza East Blvd
Ste 230
Evansville, IN 47715
Phone (812) 413-0315
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34010927A | IN | Yes |
Addresses
Primary practice location
101 N Plaza East Blvd Ste 230
Evansville, IN 47715-2806
Mailing address
101 N Plaza East Blvd Ste 230
Evansville, IN 47715-2806
Phone (812) 413-0315
Other providers in Evansville, IN
- Alexandria Nicole Goldsberry
- Kenneth Stephen Goldstein
- Gayle B Golike
- Olivia Golike
- Rachel Gomes
- Joshua Tyler Joseph Gonzales
- Reynaldo Novak Gonzales
- Good Samaritan Hospital
- Good Samaritan Hospital
- Good Samaritan Hospital
All providers in Evansville, IN · Clinical Social Worker in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.