Individual provider Active NPI

Lynn Whitlatch Gonzales, LCSW

  • Clinical Social Worker
  • Visalia, CA
National Provider Identifier
1396891784
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS22128 Issued in CA
Practice address
525 W Center Ave Ste C
Visalia, CA 93291-6045
Phone
(559) 471-8553
Fax
(559) 625-1424
NPI assigned
Jan 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 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 LCS22128 CA Primary

Addresses

Primary practice location

525 W Center Ave Ste C
Visalia, CA 93291-6045

Mailing address

PO Box 7898
Visalia, CA 93290-7898
Phone (559) 713-1722

Other practice location 1

1731 W Walnut Ave
Visalia, CA 93277-6232
Phone (559) 471-8553

Other practice location 2

1214 W Main St
Visalia, CA 93291-5917
Phone (559) 713-1722

Other names 1

  • Miss Lynn Mary- Marjorie Whitlatch Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20090818000184 CA Practitioner - Clinical Social Worker 7416001201 Practice locations: Visalia, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1214 W Main St
Visalia, CA 93291-5917
Phone (559) 713-1722

525 W Ctr Ave
Suite C
Visalia, CA 93291-6045
Phone (559) 471-8553

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS22128CAMDClinical Social Worker
22128CAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1396891784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7898",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932907898",
            "telephone_number": "559-713-1722",
            "fax_number": "559-625-1424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 W CENTER AVE STE C",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932916045",
            "telephone_number": "559-471-8553",
            "fax_number": "559-625-1424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1731 W Walnut Ave",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932776232",
            "country_code": "US",
            "telephone_number": "559-471-8553",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1214 W Main St",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932915917",
            "country_code": "US",
            "telephone_number": "559-713-1722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "LYNN",
        "middle_name": "WHITLATCH",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS22128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNN",
            "last_name": "WHITLATCH",
            "middle_name": "MARY- MARJORIE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.