Joseph Mario Gonzalez, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

96920 Issued in CA

Practice address

3124 International Blvd
Oakland, CA 94601-2902

Phone

(510) 434-5421

NPI assigned

Feb 6, 2014

Sex

Male

Sole proprietor

No

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Native American Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • San Francisco, CA
  • NPI 1669642914
  Medicare reassignment NPD
• Native American Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Oakland, CA
  • NPI 1477250504
  NPD
• Native American Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Oakland, CA
  • NPI 1619147030
  NPD

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

{
    "created_epoch": "1391644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1124442470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 E 17TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946064603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3124 INTERNATIONAL BLVD",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946012902",
            "telephone_number": "510-434-5421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "JOSEPH",
        "middle_name": "MARIO",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-06",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "96920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Giselle Mercedes Gonzalez, AMFT
• Jamie Penticoff Gonzalez, ASW
• Jazmin Zayuri Gonzalez
• Jeanette Valentina Gonzalez
• Jessica Adeline Gonzalez
• Julia Gonzalez
• Julissa Yasile Gonzalez
• Kate Lilian Gonzalez
• Kaylin Shae Gonzalez
• Laura Gonzalez, LMFT

• Clinical Social Worker in Oakland, CA
• Providers in Oakland, 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 Feb 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.