Individual provider Active NPI

Robyn Gomez, LCSW#96526

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1851759666
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
96526 Issued in CA
Practice address
1453 W Temple St
Los Angeles, CA 90026-5648
Phone
(213) 202-3970
NPI assigned
Feb 8, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 62074 CA
Clinical Social Worker 1041C0700X 96526 CA Primary

Addresses

Primary practice location

1453 W Temple St
Los Angeles, CA 90026-5648

Mailing address

1453 W Temple St
Los Angeles, CA 90026-5648
Phone (213) 202-3970

Other practice location 1

5800 S Eastern Ave Ste 260
Commerce, CA 90040-4019
Phone (626) 782-5570

Other practice location 2

6400 Laurel Canyon Blvd Ste 500
North Hollywood, CA 91606-1562
Phone (818) 901-6376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Indigenous Circle of Wellness; Individual, Couple, Family Counseling PastSince Dec 1, 2020 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.

NPI Registry JSON

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

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1851759666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1453 W TEMPLE ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900265648",
            "telephone_number": "213-202-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1453 W TEMPLE ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900265648",
            "telephone_number": "213-202-3970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5800 S Eastern Ave Ste 260",
            "address_purpose": "LOCATION",
            "city": "Commerce",
            "state": "CA",
            "postal_code": "900404019",
            "country_code": "US",
            "telephone_number": "626-782-5570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6400 Laurel Canyon Blvd Ste 500",
            "address_purpose": "LOCATION",
            "city": "North Hollywood",
            "state": "CA",
            "postal_code": "916061562",
            "country_code": "US",
            "telephone_number": "818-901-6376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "ROBYN",
        "name_prefix": "Miss",
        "credential": "LCSW#96526",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-08",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "62074",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "96526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.