Individual provider Active NPI

Krystyna Gonzalez, LCSW

  • Clinical Social Worker
  • Las Cruces, NM
National Provider Identifier
1245751502
Registry record updated Jul 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12110 Issued in NM
Practice address
136 S Main St Ste 2
Las Cruces, NM 88001-1266
Phone
(575) 621-4025
NPI assigned
Jun 27, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 12110 NM Primary

Addresses

Primary practice location

136 S Main St Ste 2
Las Cruces, NM 88001-1266

Mailing address

2260 E Lohman Ave # 1139
Las Cruces, NM 88001-8490
Phone (575) 323-0033

Other practice location 1

210 W Las Cruces Ave
Las Cruces, NM 88005-1804
Phone (575) 222-2922

Other identifiers 1

IdentifierTypeStateIssuer
41929519MedicaidNM

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
12110NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Montanas Therapy LLC Clinical Current Accepting new patients
La Clinica de Familia, Incorporated Past Accepting new patients
La Clinica de Familia, Incorporated Past Accepting new patients

Locations

136 S Main St
Ste 2
Las Cruces, NM 88001
Phone (575) 323-0033

2360 E Lohman Ave
#1139
Las Cruces, NM 88001

2260 E Lohman Ave
Las Cruces, NM 88001
Phone (346) 746-1586

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783036800000",
    "number": "1245751502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2260 E LOHMAN AVE # 1139",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880018490",
            "telephone_number": "575-323-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 S MAIN ST STE 2",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880011266",
            "telephone_number": "575-621-4025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 W Las Cruces Ave",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880051804",
            "country_code": "US",
            "telephone_number": "575-222-2922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "KRYSTYNA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2026-07-03",
        "certification_date": "2026-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "12110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41929519",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2026; 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.