Individual provider Active NPI

Juan Carlos Gonzalez Sr., CBHCM-S

  • Social Worker
  • Florida City, FL
National Provider Identifier
1215697842
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
CBHCMS.0102831 Issued in FL
Practice address
640 W Palm Dr Ste D
Florida City, FL 33034-3237
Phone
(786) 601-7757
NPI assigned
Dec 22, 2021
Last updated
Sep 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X CBHCMS.0102831 FL Primary

Addresses

Primary practice location

640 W Palm Dr Ste D
Florida City, FL 33034-3237

Mailing address

7150 SW 23Rd St Apt 46
Miami, FL 33155-1651
Phone (786) 797-2339

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

LicenseStateTypeSpecialty
CBHCMS.0102831FLMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Social Advance Corp Single Specialty CurrentSince Sep 28, 2025 Accepting new patients

Locations

640 W Palm Dr
Ste D
Homestead, FL 33034
Phone (786) 410-8922

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": "1640131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1215697842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7150 SW 23RD ST APT 46",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551651",
            "telephone_number": "786-797-2339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 W PALM DR STE D",
            "city": "FLORIDA CITY",
            "state": "FL",
            "postal_code": "330343237",
            "telephone_number": "786-601-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "name_suffix": "Sr.",
        "credential": "CBHCM-S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-22",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "CBHCMS.0102831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florida City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.