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MRS. STEPHANIE MARIE GOMEZ LCSW
NPI 1699071969
Social Worker - Clinical in Fort Worth, TX

Active since February 04, 2011PECOS EnrolledAccepts Medicare Assignment
3345 WESTERN CENTER BLVD STE 140, FORT WORTH, TX 76137(817) 269-7060(817) 636-2704 Get Directions Write a Review

NPPES record last updated: August 16, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Stephanie Marie Gomez Lcsw NPPES

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

MRS. STEPHANIE MARIE GOMEZ LCSW (NPI 1699071969) is an individual clinical provider in Fort Worth, Texas, licensed in Texas (32319) and active in the NPI registry since February 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1699071969
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. STEPHANIE MARIE GOMEZCredential: LCSW
Location Address3345 WESTERN CENTER BLVD STE 140Fort Worth, TX 76137-1938
Mailing Address805 Conestoga TrlRhome, TX 76078-4216 · (817) 269-7060 · Fax (877) 275-1630
Phone(817) 269-7060
Fax(817) 636-2704
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateFebruary 4, 2011
Last NPPES UpdateAugust 16, 2011
✔ NPI 1699071969 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 · 32319
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.
3345 WESTERN CENTER BLVD STE 140, Fort Worth, TX 76137
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Other Identifiers 1

OtherTXB119241TX · Medicare Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Stephanie Marie Gomez 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 ID1456534197
PECOS Enrollment IDI20110317000871
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.

Medicare Billing Reassignment

Medicare enrollment records show Stephanie Gomez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Assurasource Ltd
38 mi
Clinical
6600 CHASE OAKS BLVD STE 150
Plano, TX 75023
  • Reassigned Medicare billing, Texas enrollment
  • 126 clinicians in this Medicare group
NPI 1194746016 (972) 233-1010

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76137 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 $56.47 – $171.07
Typical copayment $0.00 (range $14.11 – $42.76)
Most-billed visit code NA
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
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.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Gomez's NPI number?

The NPI number for Stephanie Gomez is 1699071969. It was assigned to this individual provider in the NPPES registry on February 4, 2011.

Where is Stephanie Gomez located?

Stephanie Gomez practices at 3345 Western Center Blvd Ste 140, Fort Worth, TX 76137. The listed phone number is (817) 269-7060.

What is Stephanie Gomez's specialty?

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

Is Stephanie Gomez enrolled in Medicare?

Yes. Stephanie Gomez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Stephanie Gomez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Gomez reassigns Medicare benefits to Assurasource Ltd (Plano, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stephanie Gomez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephanie Gomez accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 6 other insurers list Stephanie Gomez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stephanie Gomez was last updated on August 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.