Individual provider Active NPI

Sakima Gonzalez, LMSW

  • Clinical Social Worker
  • Bronx, NY
National Provider Identifier
1265620074
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44CS05429200 Issued in NJ
Practice address
750 Tilden St
Astor Child Guidance Center
Bronx, NY 10467
Phone
(718) 231-3400
Fax
(718) 655-3503
NPI assigned
Oct 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 074748-1 NY
Clinical Social Worker 1041C0700X 44CS05429200 NJ Primary

Addresses

Primary practice location

750 Tilden St
Astor Child Guidance Center
Bronx, NY 10467

Mailing address

610 Anderson Ave Apt 1F
Cliffside Park, NJ 07010-1845
Phone (347) 605-3518

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
074748-1NYMDSocial Worker
44CS05429200NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Savia Comunity Counseling LLC CurrentSince Jul 24, 2022 Accepting new patients
Aliado Wellness, LLC Clinical CurrentSince Feb 19, 2023 Accepting new patients
Aliado Community Health Current Accepting new patients
New York Psychotherapy and Counseling Center CurrentSince Jan 27, 2025 Accepting new patients
Coordinated Behavioral Care Ipa Inc PastSince Jan 27, 2025 Accepting new patients
Savia Community Counseling Services, LLC PastSince Jun 22, 2021 Accepting new patients

Locations

102 Pilling St
Brooklyn, NY 11207
Phone (718) 602-1000

2857 Linden Blvd
Brooklyn, NY 11208
Phone (718) 235-3100

17620 148th Ave
Jamaica, NY 11434
Phone (718) 553-1100

Organizations & group practices 6

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": "1191542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1265620074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 ANDERSON AVE APT 1F",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070101845",
            "telephone_number": "347-605-3518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 TILDEN ST",
            "address_2": "ASTOR CHILD GUIDANCE CENTER",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10467",
            "telephone_number": "718-231-3400",
            "fax_number": "718-655-3503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "SAKIMA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-05",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "074748-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44CS05429200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.