Individual provider Active NPI

Anthony Eric Gonzalez, LCSW

  • Clinical Social Worker
  • West Palm Beach, FL
National Provider Identifier
1356604243
Registry record updated Apr 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW9647 Issued in FL
Practice address
1016 Clare Ave Ste 5
West Palm Beach, FL 33401-6219
Phone
(561) 703-2660
NPI assigned
Jun 17, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW9647 FL Primary

Addresses

Primary practice location

1016 Clare Ave Ste 5
West Palm Beach, FL 33401-6219

Mailing address

111 SE 1St Ave Apt 410
Delray Beach, FL 33444-3796
Phone (561) 703-2660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120927000105 FL Practitioner - Clinical Social Worker 3375791213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1016 Clare Ave
Suite 5
West Palm Beach, FL 33401-6219
Phone (561) 703-2660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW9647FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Raul J Rodriguez Mdpa CurrentSince Sep 17, 2012 Accepting new patients
Alere Emotional Health LLC CurrentSince May 2, 2020 Accepting new patients

Locations

403 SE 1st St
Delray Beach, FL 33483
Phone (561) 266-8866

1016 Clare Ave
Ste 5
West Palm Beach, FL 33401
Phone (561) 270-5330

Organizations & group practices 2

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": "1339891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588204800000",
    "number": "1356604243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SE 1ST AVE APT 410",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334443796",
            "telephone_number": "561-703-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 CLARE AVE STE 5",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334016219",
            "telephone_number": "561-703-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ANTHONY",
        "middle_name": "ERIC",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-17",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW9647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.