Active NPI
Cherie Gonzalez
- Social Worker
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 103764
- Practice address
- 28 Debevoise St Ste 5
Brooklyn, NY 11206 - Phone
- (718) 963-4430
- NPI assigned
- Jan 5, 2017
- Last updated
- Sep 27, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11-3449823 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| 103764 | NY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Topaz Medical Group PA | Clinical | Current | Accepting new patients |
| Topaz Medical of New York PC | Clinical | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.