William Gonzalez, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

18312 Issued in AZ

Practice address

1100 E Deuce of Clubs Ste B
Show Low, AZ 85901-4943

Phone

(951) 834-3406

NPI assigned

Nov 16, 2007

Sex

Male

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 CA, AZ2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• William Gonzalez

  • Clinical Social Worker
  • Show Low, AZ
  • NPI 1083550495
  NPD (past)

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1285815464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 440",
            "city": "VERNON",
            "state": "AZ",
            "postal_code": "859400440",
            "telephone_number": "951-834-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E DEUCE OF CLUBS STE B",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859014943",
            "telephone_number": "951-834-3406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3840 Myers St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925033614",
            "country_code": "US",
            "telephone_number": "951-358-4850",
            "fax_number": "951-358-4852",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "860 County Rd 3144",
            "address_purpose": "LOCATION",
            "city": "Vernon",
            "state": "AZ",
            "postal_code": "859400090",
            "country_code": "US",
            "telephone_number": "951-834-3406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "WILLIAM",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-16",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "18312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18312",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• German Dobson CVS LLC
• German Dobson CVS LLC
• Ghulam Mustafa LLC
• Laura Rennie Gibson, CNM
• Kenneth A Giles, MD
• Brian William Goodman, DO
• Katrine Gordon, PT
• Steven F Gorman-Hackstadt, RPH
• Tabatha Grace
• Guardian Flight LLC

• Clinical Social Worker in Show Low, AZ
• Providers in Show Low, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.