Active NPI
Georgana Marie Gonzalez, MSW, LCSW
- Clinical Social Worker
- Springville, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 12324077-3501
- Practice address
- 376 E 400 S Ste 4
Springville, UT 84663-1987 - Phone
- (385) 364-0202
- NPI assigned
- Sep 5, 2019
- Last updated
- Sep 28, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 12324077-3501 | UT | Primary |
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
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 |
|---|---|---|---|
| 12324077-3501 | UT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Nursing Service | Past | Accepting new patients | |
| Community Nursing Service | Past | Accepting new patients | |
| Building Beginnings | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Spanish Fork, UT
- NPI 1639760705
-
dba CHS Community Hospice, CNS Hospice
- Community Based Hospice Care Agency
- West Valley City, UT
- NPI 1316996457
-
dba CNS Home Health & Hospice, CNS Visiting Nurse Services
- Home Health Agency
- West Valley City, UT
- NPI 1497703870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695859200000",
"number": "1164071841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "956 W 900 S",
"city": "SPRINGVILLE",
"state": "UT",
"postal_code": "846635526",
"telephone_number": "785-418-5951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "376 E 400 S STE 4",
"city": "SPRINGVILLE",
"state": "UT",
"postal_code": "846631987",
"telephone_number": "385-364-0202"
}
],
"practiceLocations": [
{
"address_1": "1841 N 1120 W",
"address_purpose": "LOCATION",
"city": "Provo",
"state": "UT",
"postal_code": "846041180",
"country_code": "US",
"telephone_number": "801-224-8138",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "42 E 300 N",
"address_purpose": "LOCATION",
"city": "Spanish Fork",
"state": "UT",
"postal_code": "846601859",
"country_code": "US",
"telephone_number": "801-896-1961",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONZALEZ",
"first_name": "GEORGANA",
"middle_name": "MARIE",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-05",
"last_updated": "2023-09-28",
"certification_date": "2023-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "12324077-3501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springville, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.