Individual provider Active NPI

Kathia J. Colon-Gonzalez, MSW

  • Clinical Social Worker
  • Isabela, PR
National Provider Identifier
1376164889
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15014 Issued in PR
Practice address
Urb Medina Calle 7
E33
Isabela, PR 00662-7058
Phone
(787) 314-1851
NPI assigned
May 6, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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 15014 PR Primary

Addresses

Primary practice location

Urb Medina Calle 7
E33
Isabela, PR 00662-7058

Mailing address

Urb Medina Calle 7
E33
Isabela, PR 00662-7058

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
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
I20220721001399 PR Practitioner - Clinical Social Worker 8123409539 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15014PRMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Zoul Psychosocial Services Clinical CurrentSince Mar 17, 2022 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.

NPI Registry JSON

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

{
    "created_epoch": "1588723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1376164889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB MEDINA CALLE 7",
            "address_2": "E33",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006627058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB MEDINA CALLE 7",
            "address_2": "E33",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006627058",
            "telephone_number": "787-314-1851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON-GONZALEZ",
        "first_name": "KATHIA",
        "middle_name": "J.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-06",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "15014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Isabela, PR

Sources for this page

Verify at the official NPI Registry.