Organization Active NPI

Tina Xiong Gonzalez Licensed Clinical Social Worker PC

  • Clinical Social Worker
  • Sacramento, CA
National Provider Identifier
1386551646
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
TINA XIONG GONZALEZ LICENSED CLINICAL SOCIAL WORKER PC
Practice address
7897 Kelvedon Way
Sacramento, CA 95829-1452
Phone
(209) 294-0036
NPI assigned
Aug 24, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Authorized official

Name
Mrs. Tina Xiong Gonzalez, LCSW
Title
President
Phone
(209) 294-0036

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

7897 Kelvedon Way
Sacramento, CA 95829-1452

Mailing address

5960 S Land Park Dr # 1063
Sacramento, CA 95822-3313
Phone (209) 294-0036

NPI Registry JSON

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

{
    "created_epoch": "1787529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787529600000",
    "number": "1386551646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5960 S LAND PARK DR # 1063",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958223313",
            "telephone_number": "209-294-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7897 KELVEDON WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958291452",
            "telephone_number": "209-294-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINA XIONG GONZALEZ LICENSED CLINICAL SOCIAL WORKER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-24",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A",
        "authorized_official_last_name": "XIONG GONZALEZ",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-294-0036",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.