Active NPI
Hector Rafael Gonzalez
- Clinical Social Worker
- Adrian, MI
National Provider Identifier
1063042414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 2570 E Valley Rd
Adrian, MI 49221-8308 - Phone
- (323) 377-7434
- NPI assigned
- Jan 23, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6851106052 | MI | |
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
2570 E Valley Rd
Adrian, MI 49221-8308
Mailing address
2570 E Valley Rd
Adrian, MI 49221-8308
Phone (323) 377-7434
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 |
|---|---|---|---|
| 6851106052 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682640000000",
"number": "1063042414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2570 E VALLEY RD",
"city": "ADRIAN",
"state": "MI",
"postal_code": "492218308",
"telephone_number": "323-377-7434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2570 E VALLEY RD",
"city": "ADRIAN",
"state": "MI",
"postal_code": "492218308",
"telephone_number": "323-377-7434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "HECTOR",
"middle_name": "RAFAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-01-23",
"last_updated": "2023-04-28",
"certification_date": "2023-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6851106052",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Adrian, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.