Banessa Gonell, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

116747 Issued in MA

Practice address

618 Ames Hill Dr
Tewksbury, MA 01876-1165

Phone

(978) 609-7308

NPI assigned

Jun 1, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA, FL2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Banessa Gonell LLC

  • Clinical Social Worker
  • Lawrence, MA
  • NPI 1891682514
  NPD Authorized official

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

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575590400000",
    "number": "1407082753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PRIMROSE WAY UNIT 5308",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018303162",
            "telephone_number": "978-609-7308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 AMES HILL DR",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018761165",
            "telephone_number": "978-609-7308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONELL",
        "first_name": "BANESSA",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-01",
        "last_updated": "2019-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "S85881884",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "116747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony J Giuliano, PHD
• Glenice Sheehan Recovery Home for Women
• Global Care Medical Group, P.C.
• Laurie Gobeil, LICSW
• Barbara P Goldsher, LICSW LICENSED INDEP
• Brenda J Grant, LICSW
• Greater Lowell Family Practice PC
• Gregory Wu DMD PC
• Priscilla Griffin, LMHC
• Guardian Adult Day Care Inc

• Clinical Social Worker in Tewksbury, MA
• Providers in Tewksbury, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.