Individual provider Active NPI

Raquel Maria Gonzalez, L.C.S.W.

  • Clinical Social Worker
  • Fort Myers, FL
National Provider Identifier
1447468434
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW0004138 Issued in FL
Practice address
6719 Winkler Rd Ste 212
Fort Myers, FL 33919-7200
Phone
(239) 939-3700
Fax
(239) 939-3889
NPI assigned
May 21, 2007
Last updated
Jan 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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 SW0004138 FL Primary

Addresses

Primary practice location

6719 Winkler Rd Ste 212
Fort Myers, FL 33919-7200

Mailing address

6719 Winkler Rd Ste 212
Fort Myers, FL 33919-7200
Phone (239) 939-3700

Other practice location 1

27499 Riverview Center Blvd Ste 253
Bonita Springs, FL 34134-4359
Phone (239) 250-8684

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20080602000352 FL Practitioner - Clinical Social Worker 8921178039 Practice locations: Bonita Springs, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

27499 Riverview Ctr Blvd
Suite 253
Bonita Springs, FL 34134-4359
Phone (239) 939-3700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW0004138FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Avow Hospice Inc CurrentSince Mar 12, 2023 Accepting new patients
Catholic Charities Diocese of Venice, Inc. Past Accepting new patients
Stephen L Magruder Clinical PastSince Jul 1, 2021 Accepting new patients
Richard W. Haley, Inc. PastSince Jul 1, 2021 Accepting new patients
Catholic Charities, Diocese of Venice Inc. Past Accepting new patients

Locations

1095 Whippoorwill Ln
Naples, FL 34105
Phone (236) 261-5786

1205 Whippoorwill Ln
Naples, FL 34105
Phone (239) 261-4404

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1447468434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6719 WINKLER RD STE 212",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339197200",
            "telephone_number": "239-939-3700",
            "fax_number": "239-939-3889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6719 WINKLER RD STE 212",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339197200",
            "telephone_number": "239-939-3700",
            "fax_number": "239-939-3889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27499 Riverview Center Blvd Ste 253",
            "address_purpose": "LOCATION",
            "city": "Bonita Springs",
            "state": "FL",
            "postal_code": "341344359",
            "country_code": "US",
            "telephone_number": "239-250-8684",
            "fax_number": "239-939-3889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "RAQUEL",
        "middle_name": "MARIA",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW0004138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.