Individual provider Active NPI

Cherie Gonzalez

  • Social Worker
  • Brooklyn, NY
National Provider Identifier
1033654694
Registry record updated Sep 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
103764 Issued in NY
Practice address
28 Debevoise St Ste 5
Brooklyn, NY 11206
Phone
(718) 963-4430
NPI assigned
Jan 5, 2017
Last updated
Sep 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 103764 NY Primary
Clinical Social Worker 1041C0700X
Case Manager/Care Coordinator 171M00000X NY

Addresses

Primary practice location

28 Debevoise St Ste 5
Brooklyn, NY 11206

Mailing address

1841 Brentwood Rd
Brentwood, NY 11717-4625
Phone (631) 853-7300

Other practice location 1

35 Dock St
Yonkers, NY 10701-2733
Phone (914) 965-1109 ext. 2446

Other practice location 2

2 Roosevelt Ave Ste 300
Syosset, NY 11791-3064
Phone (516) 758-4119

Other identifiers 1

IdentifierTypeStateIssuer
11-3449823MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20251124002405 NY Practitioner - Clinical Social Worker 6204328545
I20260211003611 FL Practitioner - Clinical Social Worker 6204328545 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1 Washington Mall
Boston, MA 02108-2616

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
103764NYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Topaz Medical Group PA Clinical CurrentSince Dec 22, 2025 Accepting new patients
Topaz Medical of New York PC Clinical CurrentSince Oct 17, 2025 Accepting new patients

Locations

1 Washington Mall
#1341
Boston, MA 02108
Phone (877) 445-1587

195 Plymouth St
Unit 408
Brooklyn, NY 11201
Phone (877) 445-1587

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": "1483574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1033654694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1841 BRENTWOOD RD",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117174625",
            "telephone_number": "631-853-7300",
            "fax_number": "631-853-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 DEBEVOISE ST STE 5",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11206",
            "telephone_number": "718-963-4430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 Dock St",
            "address_purpose": "LOCATION",
            "city": "Yonkers",
            "state": "NY",
            "postal_code": "107012733",
            "country_code": "US",
            "telephone_number": "914-965-1109 x2446",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Roosevelt Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Syosset",
            "state": "NY",
            "postal_code": "117913064",
            "country_code": "US",
            "telephone_number": "516-758-4119",
            "fax_number": "516-921-4432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "CHERIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-05",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "103764",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11-3449823",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.