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Stephanie Marie Gomez, LCSW

NPI 1699071969ActiveIndividual· Social Worker, Clinical· Fort Worth, TX

Social Worker, Clinical (LCSW) with Assurasource Ltd, practicing in Fort Worth, Texas. Enrolled in Medicare as practitioner - clinical social worker.

Overview

NPI1699071969
StatusActive
Entity typeIndividual
CredentialLCSW
Sole proprietorYes
NPI issuedFeb 4, 2011
Last updated in NPPESAug 16, 2011

Specialties and licenses

TaxonomyCodeLicenseState
Social Worker, Clinical Primary1041C0700X32319TX

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Clinical Social Worker (TX)

Medicare sources and data years

Education and affiliations

Graduation year2000
Medicare specialtyClinical Social Worker

Medical group

Source: CMS Care Compare

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