Active NPI
John Raymond Gonzalez III
- Clinical Social Worker
- San Antonio, TX
National Provider Identifier
1134498116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW006703
- Practice address
- 70 NE Loop 410 Ste 400
San Antonio, TX 78216-5841 - Phone
- (210) 341-3336
- NPI assigned
- Dec 21, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW006703 | GA | Primary |
Addresses
Primary practice location
70 NE Loop 410 Ste 400
San Antonio, TX 78216-5841
Mailing address
70 NE Loop 410 Ste 400
San Antonio, TX 78216-5841
Phone (210) 341-3336
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW006703 | GA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553472000000",
"number": "1134498116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 NE LOOP 410 STE 400",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782165841",
"telephone_number": "210-341-3336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 NE LOOP 410 STE 400",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782165841",
"telephone_number": "210-341-3336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "JOHN",
"middle_name": "RAYMOND",
"name_prefix": "Mr.",
"name_suffix": "III",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-12-21",
"last_updated": "2019-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW006703",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.