Shirley Court Gonzalez, LCSW BCD LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

SHIRLEY COURT GONZALEZ, LCSW BCD LLC

Practice address

470 Prospect Ave Ste 302
West Orange, NJ 07052-4106

Phone

(877) 755-4401

Fax

(888) 511-7386

NPI assigned

Jul 28, 2021

Organization subpart

No

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

Authorized official

Name

Shirley Court, LCSW

Title

LCSW

Phone

(877) 755-4401

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627430400000",
    "number": "1265105910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 PROSPECT AVE STE 302",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524106",
            "telephone_number": "877-755-4401",
            "fax_number": "888-511-7386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 PROSPECT AVE STE 302",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524106",
            "telephone_number": "877-755-4401",
            "fax_number": "888-511-7386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIRLEY COURT GONZALEZ, LCSW BCD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A",
        "authorized_official_last_name": "COURT",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "877-755-4401",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura A Sheppard, LCSW
• Alisha Sheridan, OT
• Sarah Virginia Sheridan, SLP
• Anna Shingelo
• Bijan Shirazi, RPH
• Laurel Shnider, PT, DPT
• Richard B. Shoenfeld, MD
• Patricia Ann Shorrock, RN,APN,C
• Veselin Shumantov, DDS
• David Sidener, PHD, BCBA-D

• Adult Mental Health Clinic/Center in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Adult Mental Health Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.