Tara-Marie Gonzalez, LCSWR

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R051143-1 Issued in NY

Practice address

1234 W Broadway
Suite #4
Hewlett, NY 11557-1929

Phone

(516) 426-9672

NPI assigned

Nov 16, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023090917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 BAISLEY AVE",
            "city": "EAST ROCKAWAY",
            "state": "NY",
            "postal_code": "115181820",
            "telephone_number": "516-593-6513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 W BROADWAY",
            "address_2": "SUITE #4",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115571929",
            "telephone_number": "516-426-9672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "TARA-MARIE",
        "name_prefix": "Mrs.",
        "credential": "LCSWR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R051143-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Samuel Glickman, M.D., F.A.C.P.
• Warren Goldberg, PH.D.
• Cory Golden
• Sharon Golden, MS., N.C.C., L.M.H.C
• Ernest S Goldmann
• Barry Steven Goodman, D.D.S.
• Fred Goodstein, D.D.S.
• Joseph Paul Gottlieb, R.PH.
• Lawrence Howard Gottlieb, MD
• Rebecca Gottlieb

• All providers in Hewlett, NY
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.