Isaac Goncalves, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904017428 Issued in VA

Practice address

5248 Olde Towne Rd
Williamsburg, VA 23188-1986

Phone

(757) 603-4603

NPI assigned

Sep 19, 2024

Last updated

Sep 19, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Clinical Social Worker

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Abundant Life Partners LLCGroup PAC ID 6507142296, 38 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Abundant Life Partners, LLC

  • Clinical Social Worker
  • Williamsburg, VA
  • NPI 1942740279
  Medicare reassignment Care Compare group NPD
• Abundant Path LLC

  dba Abundant Path Evaluations

  • Psychologist
  • Williamsburg, VA
  • NPI 1962374439

  Clinical

  NPD (past)

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

{
    "created_epoch": "1726704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1427885631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5248 OLDE TOWNE RD",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231881986",
            "telephone_number": "757-603-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5248 OLDE TOWNE RD",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231881986",
            "telephone_number": "757-603-4603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONCALVES",
        "first_name": "ISAAC",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-19",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904017428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Kelly Goff, CPHT
• Gogo Taxi Inc
• Golden Services Inc. (Comfort Keepers 160)
• Tiffany Dawn Goldsmith, RPRS-PG-CS
• Danielle Goncalves
• Rebecca Lee Gonce, FNP
• Teresa M Gong, DPT
• Joy Ann Gonzalez, MPT, CWS
• Heidi Goo, MD
• Lauren Goodman

• Clinical Social Worker in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.