Cinthia Teresa Gonzalez Calvillo

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW79708 Issued in CA

Practice address

8300 S Vermont Ave
Los Angeles, CA 90044-3493

Phone

(323) 965-6166

NPI assigned

Jun 11, 2013

Last updated

Mar 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1083052047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 S VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900443493",
            "telephone_number": "323-965-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 S VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900443493",
            "telephone_number": "323-965-6166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2160 W Adams Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900182039",
            "country_code": "US",
            "telephone_number": "323-474-0430",
            "fax_number": "323-232-2366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ CALVILLO",
        "first_name": "CINTHIA",
        "middle_name": "TERESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-11",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "62667",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW79708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Lizeth Gonzalez Angel
• Lisette Gonzalez Avakian
• Angelica Nallely Gonzalez Bautista
• Juan Jose Gonzalez Bonifacio
• Carolina Gonzalez Bravo
• Fabela Gonzalez Contreras
• Jessica Gonzalez Garcia
• Ivan Gonzalez Gonzalez, LCSW
• Daisy Gonzalez Gutierrez, M.S., CCC-SLP
• Felipe Gonzalez Gutierrez

• Clinical Social Worker in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.