Individual provider Active NPI

Karla Cecilia Gonzalez-Rubio

  • Clinical Social Worker
  • Bradenton, FL
National Provider Identifier
1396255048
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
3655 Cortez Rd W Ste 140
Bradenton, FL 34210-3147
Phone
(941) 888-2081
Fax
(888) 700-6760
NPI assigned
Oct 9, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ISW11026 FL
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

3655 Cortez Rd W Ste 140
Bradenton, FL 34210-3147

Mailing address

250 Catalonia Ave Ste 700
Coral Gables, FL 33134-6727
Phone (305) 586-5217

Other practice location 1

3333 Clark Rd Ste 170
Sarasota, FL 34231-8435
Phone (941) 888-2081

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL TherapyAppointment Direct Healing Transitions Creative Counseling for Children & Families Inc.

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

LicenseStateTypeSpecialty
ISW11026FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Transitions Creative Counseling for Children & Families Inc. PastSince Nov 9, 2021 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": "1507507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1396255048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 CATALONIA AVE STE 700",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346727",
            "telephone_number": "305-586-5217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 CORTEZ RD W STE 140",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342103147",
            "telephone_number": "941-888-2081",
            "fax_number": "888-700-6760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3333 Clark Rd Ste 170",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342318435",
            "country_code": "US",
            "telephone_number": "941-888-2081",
            "fax_number": "888-700-6760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ-RUBIO",
        "first_name": "KARLA",
        "middle_name": "CECILIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-09",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW11026",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "TherapyAppointment",
            "affiliation": "Y",
            "endpointDescription": "EHR",
            "affiliationName": "Healing Transitions Creative Counseling for Children & Families Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3655 Cortez Rd W Ste 140",
            "city": "Bradenton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342103147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.