Edna Elizabeth Gonzales-Anzaldua, LISW,LADAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I-08202 Issued in NM

Practice address

818 S McCurdy Rd
Espanola, NM 87532-9646

Phone

(505) 747-7223

NPI assigned

Nov 30, 2006

Last updated

Jul 19, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Edna Elizabeth Gonzales- Anzaldua Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374192000000",
    "number": "1023186053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 109",
            "city": "HERNANDEZ",
            "state": "NM",
            "postal_code": "875370109",
            "telephone_number": "505-747-7223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 S MCCURDY RD",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875329646",
            "telephone_number": "505-747-7223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES-ANZALDUA",
        "first_name": "EDNA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LISW,LADAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2013-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "0118251",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-08202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDNA",
            "last_name": "GONZALES- ANZALDUA",
            "middle_name": "ELIZABETH",
            "prefix": "MRS.",
            "credential": "LISW,LADAC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dennis R. Glavan, MSW
• Clarence Wilfred Goddard, MA LADAC
• Cynthia Ann Goldblatt, LPCC
• Eric Golden
• Jennifer Gomez
• Andrea Gonzales, BMS
• David Gonzales
• Stephanie Gonzales
• Alejandra Gonzalez, BMS
• Rachel Wolfe Goodman

• Clinical Social Worker in Espanola, NM
• Providers in Espanola, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2013; 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.