Madeline Gonzalez, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

088888 Issued in NY

Practice address

2976 Northern Blvd
2ND FLR
Long Island City, NY 11101-2822

Phone

(347) 510-3649

Fax

(347) 510-3457

NPI assigned

Mar 26, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Fortune Society Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Long Island City, NY
  • NPI 1235357237

  Clinical

  NPD (past)

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364256000000",
    "number": "1063754240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2976 NORTHERN BLVD",
            "address_2": "2ND FLR",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111012822",
            "telephone_number": "347-510-3649",
            "fax_number": "347-510-3457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2976 NORTHERN BLVD",
            "address_2": "2ND FLR",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111012822",
            "telephone_number": "347-510-3649",
            "fax_number": "347-510-3457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "MADELINE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-26",
        "last_updated": "2013-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "088888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudia M Gomez, RN
• Olga Shakira Gomez
• Patricia Gomez
• Marlyn Cabana Gonong, RN
• Daniela Gonzalez, LMSW
• Sasha Gonzalez
• Sharon Ann Gonzalez, LPN
• Alison Gordon, MS, OTR/L
• Deandra Gordon
• Yuki Comments: Yuki Gotsubo

• Clinical Social Worker in Long Island City, NY
• Providers in Long Island City, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.