Edward Gonzalez, LCSW & LDAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

010279 Issued in CT

Practice address

627 Main St
Manchester, CT 06040-5181

Phone

(860) 324-0042

NPI assigned

Jun 18, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT, MA2 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

State University of New York at Stony Brook, School of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Simple Talks Counseling LLC

  • Clinical Social Worker
  • Manchester, CT
  • NPI 1770231409
  Medicare reassignment NPD Authorized official
• State of Connecticut

  • Psychiatric Hospital
  • Hartford, CT
  • NPI 1487689022

  Multi-Specialty

  Medicare reassignment NPD
• Behavioral Health Network Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Springfield, MA
  • NPI 1477582609

  Multi-Specialty

  Medicare reassignment NPD
• State of Connecticut

  • Skilled Nursing Facility
  • Rocky Hill, CT
  • NPI 1205951662
  NPD
• Behavioral Health Network, Inc

  • Methadone Clinic
  • Springfield, MA
  • NPI 1669017653
  NPD

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1346654399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 BURNSIDE AVE APT B3",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061081575",
            "telephone_number": "516-652-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 MAIN ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060405181",
            "telephone_number": "860-324-0042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27 May Street 2nd Floor",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "06104",
            "country_code": "US",
            "telephone_number": "516-652-2100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "EDWARD",
        "credential": "LCSW & LDAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-18",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "1090",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "010279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen G Gonzales
• Eloise Maria Gonzales, APRN
• Melanie Gonzalez-Airas
• Carlos Alfonso Gonzalez, M.D.
• Carolina Gonzalez, ND
• Eliza A Gonzalez
• Jasmine Gonzalez
• Katherine Brewer Goodman, LPC
• Micaela J Goodnight
• Nancy Lynn Gordon-Green, R.N., M.A.

• Clinical Social Worker in Manchester, CT
• Providers in Manchester, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; 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.