ELISA MARIE GOMEZ DE SOBREVILLA LCSW
NPI 1073252201
Social Worker - Clinical in San Antonio, TX

Q: What is Elisa Gomez De Sobrevilla's NPI number?

The NPI number for Elisa Gomez De Sobrevilla is 1073252201. It was assigned to this individual provider in the NPPES registry on June 4, 2022.

Q: What is Elisa Gomez De Sobrevilla's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since June 04, 2022PECOS EnrolledAccepts Medicare Assignment

6609 BLANCO RD STE 365, SAN ANTONIO, TX 78216(210) 705-1749(210) 610-5256 Get Directions Write a Review

NPPES record last updated: June 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Elisa Marie Gomez De Sobrevilla Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELISA MARIE GOMEZ DE SOBREVILLA LCSW (NPI 1073252201) is an individual clinical provider in San Antonio, Texas, licensed in Texas (66015) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1073252201

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameELISA MARIE GOMEZ DE SOBREVILLACredential: LCSW

Location Address6609 BLANCO RD STE 365San Antonio, TX 78216-6171

Mailing Address6609 Blanco Rd Ste 365San Antonio, TX 78216-6171 · (210) 705-1749 · Fax (210) 610-5256

Phone(210) 705-1749

Fax(210) 610-5256

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateJune 4, 2022

NPPES CertifiedJune 4, 2022

✔ NPI 1073252201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in TX · 66015

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

6609 BLANCO RD STE 365, San Antonio, TX 78216

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elisa Marie Gomez De Sobrevilla Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244619534

PECOS Enrollment IDI20220616000713

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $54.84 – $166.88

Typical copayment $0.00 (range $13.71 – $41.72)

Most-billed visit code NA

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARTA JOANNA CACACE-MATA LCSW

Social Worker (Clinical)