Samantha J Gonzalez, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801093645 Issued in MI

Practice address

190 E Michigan Ave Ste A100
Battle Creek, MI 49014-4019

Phone

(269) 565-3936

NPI assigned

Jan 14, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Counseling Center of West Michigan, LLC

  • Mental Health Counselor
  • Grand Rapids, MI
  • NPI 1437610730
  Medicare reassignment
• Virtuwell Therapy, LLC

  • Mental Health Counselor
  • Grand Rapids, MI
  • NPI 1871356212
  NPD (past)

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459123200000",
    "number": "1255678041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4465 W MILHAM AVE APT 3",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490241708",
            "telephone_number": "231-742-0792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 E MICHIGAN AVE STE A100",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490144019",
            "telephone_number": "269-565-3936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "SAMANTHA",
        "middle_name": "J",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-14",
        "last_updated": "2016-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801093645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Jeffrey Gloystein, MD
• Amy Lynn Goff, LPN
• Tracy L Gogan, L.M.S.W., A.C.S.W.
• Joel Lee Goldberg, M.D.
• Bethany Gonzalez, NMW
• Peter D Goodman, MD
• Thomas Charles Goodsell, D.D.S.
• Goodwill Industries of Central Michigan'S Heartland
• Alluri Giridhara Gopal, M.D
• Douglas Jon Gordon, D.C.

• Clinical Social Worker in Battle Creek, MI
• Providers in Battle Creek, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.