Individual provider Active NPI

Anabel Perez-Gonzalez, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1114181880
Registry record updated Apr 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
079889 Issued in NY
Practice address
211 East 43Rd Street
Suite 1305
New York, NY 10017-4779
Phone
(646) 662-7679
NPI assigned
Jul 11, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 079889-1 NY
Clinical Social Worker 1041C0700X 079889 NY Primary

Addresses

Primary practice location

211 East 43Rd Street
Suite 1305
New York, NY 10017-4779

Mailing address

211 East 43Rd Street
Suite 1305
New York, NY 10017-4779
Phone (646) 662-7679

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

LicenseStateTypeSpecialty
079889NYMDClinical Social Worker
079889-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524614400000",
    "number": "1114181880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 EAST 43RD STREET",
            "address_2": "SUITE 1305",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100174779",
            "telephone_number": "646-662-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 EAST 43RD STREET",
            "address_2": "SUITE 1305",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100174779",
            "telephone_number": "646-662-7679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ-GONZALEZ",
        "first_name": "ANABEL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-11",
        "last_updated": "2018-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "079889-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "079889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; 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.