Kathren Gonzalez, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

39109 Issued in MT

Practice address

307 1St Ave E Ste 15
Kalispell, MT 59901-4965

Phone

(406) 709-3938

Fax

(406) 226-0547

NPI assigned

Nov 4, 2019

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 1, 2022 through Oct 1, 2026

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.

• Mountain Root Healing

  • Clinical Social Worker
  • Kalispell, MT
  • NPI 1629617568

  Clinical

  NPD Authorized official
• Sunburst Health LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Missoula, MT
  • NPI 1093297764

  Clinical

  NPD (past)

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1124662044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 1ST AVE E STE 15",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599014965",
            "telephone_number": "406-709-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 1ST AVE E STE 15",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599014965",
            "telephone_number": "406-709-3938",
            "fax_number": "406-226-0547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "KATHREN",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-04",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "39109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Colleen Glover, F.N.P.-C.
• Mark Goerlitz-Jessen, M.D.
• Going Within Wellness LLC
• Erica Tayler Gold
• Mary Gold, LMT, RCST
• Stephanie R Gordon, MSW, LCSW
• Terri L Gordon, MSW (STUDENT)
• Erin Goudreau
• Kenneth J Graham, MD
• Robin Larrick Graham, LCSW

• Clinical Social Worker in Kalispell, MT
• Providers in Kalispell, MT by specialty
• Clinical Social Worker in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.