Individual provider Active NPI

Lillian Alu Gonzalez, L.C.S.W.

  • Clinical Social Worker
  • Savannah, GA
National Provider Identifier
1023174836
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
023961 Issued in NY
Practice address
46 Putters PL
Savannah, GA 31419-6070
Phone
(646) 522-4957
NPI assigned
Dec 28, 2006
Last updated
Oct 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 023961 NY Primary

Addresses

Primary practice location

46 Putters PL
Savannah, GA 31419-6070

Mailing address

46 Putters PL
Savannah, GA 31419-6070
Phone (646) 522-4957

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040623000789 NY Practitioner - Clinical Social Worker 1658356563 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
023961NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Graham Windham PastSince Mar 10, 1992 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lillian.gonzalez.p1@direct.heartshare.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1023174836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 PUTTERS PL",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314196070",
            "telephone_number": "646-522-4957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 PUTTERS PL",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314196070",
            "telephone_number": "646-522-4957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALU GONZALEZ",
        "first_name": "LILLIAN",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "023961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.