Active NPI
Daylen L Gonzales, MSW
- Clinical Social Worker
- Centralia, WA
National Provider Identifier
1316371859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW61090527
- Practice address
- 727 N Tower Ave
Centralia, WA 98531-4754 - Phone
- (360) 764-9506
- NPI assigned
- Sep 1, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CO60818881 | WA | |
| Clinical Social Worker | 1041C0700X | LW61090527 | WA | Primary |
Addresses
Primary practice location
727 N Tower Ave
Centralia, WA 98531-4754
Mailing address
PO Box 257
PMB 9773
Olympia, WA 98507-0257
Phone (253) 220-7230
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CO60818881 | WA | MD | Addiction (Substance Use Disorder) Counselor |
| LW61090527 | WA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skokomish Tribal Council | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Skokomish Nation, WA
- NPI 1457506081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695600000000",
"number": "1316371859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 257",
"address_2": "PMB 9773",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985070257",
"telephone_number": "253-220-7230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "727 N TOWER AVE",
"city": "CENTRALIA",
"state": "WA",
"postal_code": "985314754",
"telephone_number": "360-764-9506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALES",
"first_name": "DAYLEN",
"middle_name": "L",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-01",
"last_updated": "2023-09-25",
"certification_date": "2023-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "CO60818881",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW61090527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centralia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.