Active NPI
Priscilla Gonzalez, LCSW
- Clinical Social Worker
- Villalba, PR
National Provider Identifier
1053140616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 26620
- Practice address
- HC 4 Box 3860
Villalba, PR 00766-9815 - Phone
- (939) 256-5653
- NPI assigned
- Jul 31, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 26620 | PR | Primary |
Addresses
Primary practice location
HC 4 Box 3860
Villalba, PR 00766-9815
Mailing address
HC 4 Box 3860
Villalba, PR 00766-9815
Phone (939) 256-5653
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26620 | PR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722384000000",
"number": "1053140616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 4 BOX 3860",
"city": "VILLALBA",
"state": "PR",
"postal_code": "007669815",
"telephone_number": "939-256-5653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HC 4 BOX 3860",
"city": "VILLALBA",
"state": "PR",
"postal_code": "007669815",
"telephone_number": "939-256-5653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "PRISCILLA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-31",
"last_updated": "2024-07-31",
"certification_date": "2024-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PR",
"license": "26620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Villalba, PR
- Gonzalez &Santiago (La Nueva Farmacia Gonzalez)
- Saryann Gonzalez Collazo, PHARM D
- Xiomari Gonzalez Gonzalez, MSW
- Johanis Gonzalez, ATO
- Migda M Gonzalez
- Grafed Solutions Corp (Grafed Specialty Pharmacy)
- Grafed Solutions Corp (Grafed Pharmacy Solutions)
- Grafed Solutions Corp. (Grafed Infusion Center)
- Johannie Marie Gratacos-Ramos, MS
- Johanna Marie Gratacos, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.