Georgana Marie Gonzalez, MSW, LCSW
Individual provider Active NPI Clinical Social Worker · Springville, UT
NPI 1164071841 · NPPES record last updated Sep 28, 2023
Key facts
- NPI
- 1164071841
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 12324077-3501 (UT)
- Practice address
- 376 E 400 S Ste 4
Springville, UT 84663-1987 - Phone
- (385) 364-0202
- NPI assigned
- Sep 5, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12324077-3501 | UT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Nursing Service | Past | Accepting new patients | |
| Building Beginnings | Past |
Accepting new patients | |
| Community Nursing Service | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 12324077-3501 | UT | Yes |
Addresses
Primary practice location
376 E 400 S Ste 4
Springville, UT 84663-1987
Mailing address
956 W 900 S
Springville, UT 84663-5526
Phone (785) 418-5951
Other practice location 1
1841 N 1120 W
Provo, UT 84604-1180
Phone (801) 224-8138
Other practice location 2
42 E 300 N
Spanish Fork, UT 84660-1859
Phone (801) 896-1961
Other providers in Springville, UT
- Giles, Haderlie & Associates Family Psychology
- McKenna Gleave
- Brock Gledhill
- Spencer Gledhill
- Amanda Jean Golightly
- Chris Goodman
- Dale C Hadley
- Nanette Kim Hadley
- Brent Hall
- Forrest Hammeren II
All providers in Springville, UT · Clinical Social Worker in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.