Individual provider Active NPI

Hillary Gonzalez, LCSW

  • Clinical Social Worker
  • Orlando, FL
National Provider Identifier
1114781929
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW22236 Issued in FL
Practice address
6601 Central Florida Pkwy
Orlando, FL 32821-8064
Phone
(407) 370-0111
NPI assigned
Feb 12, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW22236 FL Primary

Addresses

Primary practice location

6601 Central Florida Pkwy
Orlando, FL 32821-8064

Mailing address

656 Silver Palm Dr
Haines City, FL 33844-4127
Phone (407) 721-6364

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240307003722 FL Practitioner - Clinical Social Worker 6406292838 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW22236FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care (FL) Inc. CurrentSince Mar 11, 2024 Accepting new patients
Centerwell Senior Primary Care FL Inc Current Accepting new patients
Centerwell Senior Primary Care (FL) Inc. CurrentSince Mar 11, 2024 Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

737 S Semoran Blvd
Orlando, FL 32807
Phone (321) 247-4960

Interoperability endpoints

  • Direct secure messaging: hillary.gonzalez.2@29601.direct.athenahealth.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1114781929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "656 SILVER PALM DR",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338444127",
            "telephone_number": "407-721-6364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 CENTRAL FLORIDA PKWY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328218064",
            "telephone_number": "407-370-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "HILLARY",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW22236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.