Talona Gonzalez

Individual provider Active NPI Social Worker · Fort Meade, SD

NPI 1114553799 · NPPES record last updated Mar 16, 2020

Key facts

NPI
1114553799
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
Practice address
113 Comanche Rd
Fort Meade, SD 57741-1002
Phone
(605) 347-2511
NPI assigned
Mar 16, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Yes

Addresses

Primary practice location

113 Comanche Rd
Fort Meade, SD 57741-1002

Mailing address

113 Comanche Rd
Fort Meade, SD 57741-1002
Phone (605) 347-2511

Other providers in Fort Meade, SD

All providers in Fort Meade, SD · Social Worker in South Dakota

Sources for this page

Verify at the official NPI Registry.