Individual provider Active NPI

Samuel Jesus Gonzalez, LCSW

  • Clinical Social Worker
  • New Orleans, LA
National Provider Identifier
1124541263
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16576 Issued in LA
Practice address
6221 S Claiborne Ave Ste 537
New Orleans, LA 70125-4142
Phone
(888) 880-9270
NPI assigned
Jul 20, 2017
Last updated
Dec 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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 16576 LA Primary

Addresses

Primary practice location

6221 S Claiborne Ave Ste 537
New Orleans, LA 70125-4142

Mailing address

6221 S Claiborne Ave
New Orleans, LA 70125-4142

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20251229000880 LA Practitioner - Clinical Social Worker 3577059690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

80 Arkay Dr
Suite 230
Hauppauge, NY 11788-3728

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16576LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Upward Health of la Professional Medical Corporation CurrentSince Dec 15, 2025 Accepting new patients

Locations

6221 S Claiborne Ave
Ste 537
New Orleans, LA 70125
Phone (934) 758-4020

80 Arkay Dr
Ste 230
Hauppauge, NY 11788
Phone (631) 540-8225

Organizations & group practices 1

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": "1500508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1124541263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6221 S CLAIBORNE AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701254142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6221 S CLAIBORNE AVE STE 537",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701254142",
            "telephone_number": "888-880-9270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "SAMUEL",
        "middle_name": "JESUS",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-20",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "16576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.