Laura C Goncalves, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW022465 Issued in PA

Practice address

4668 Dealtrey Dr
Easton, PA 18045-5861

Phone

(570) 233-3153

NPI assigned

Jul 18, 2018

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Locations

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, PA

  Medicare reassignment NPD
• Day One Counseling, LLC

  • Counselor
  • Easton, PA
  • NPI 1790655165

  Single Specialty

  NPD Authorized official
• Vita Counseling Partners

  • Clinical Social Worker
  • Palmerton, PA
  • NPI 1144524638
  NPD (past)

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1255817789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4668 DEALTREY DR",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180455861",
            "telephone_number": "570-233-3153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4668 DEALTREY DR",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180455861",
            "telephone_number": "570-233-3153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONCALVES",
        "first_name": "LAURA",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-18",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW022465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LIS",
            "identifier": "LSW133415",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eddie Gilmore
• Benjamin Giuliano
• Olguens Glaude, PHARMD
• Monica Goel, M.D.
• Jeffrey E Goldstein, MD
• Michael Gonzalez
• Andrew J Goodbred, M.D.
• Lauren Gorman, CCC-SLP
• Andrea Marie Goshen, PAC
• Amanda Little Gosnell, CCC-SLP

• Clinical Social Worker in Easton, PA
• Providers in Easton, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.