Organization Active NPI

A Whole New You, Licensed Clinical Social Worker, Inc

  • Clinical Social Worker
  • West Covina, CA
National Provider Identifier
1457072381
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
A WHOLE NEW YOU, LICENSED CLINICAL SOCIAL WORKER, INC
Practice address
150 N Grand Ave Ste 212
West Covina, CA 91791-1757
Phone
(626) 267-2579
NPI assigned
Sep 8, 2022
Last updated
Sep 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Authorized official

Name
Lynn Gonzalez, LCSWNPI 1982325742
Title
President
Phone
(626) 267-2579

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

150 N Grand Ave Ste 212
West Covina, CA 91791-1757

Mailing address

170 E College St Unit 204
Covina, CA 91723-7008
Phone (626) 267-2579

Other names 1

  • Lynn Gonzalez Other name

National Provider Directory

National Provider Directory

Locations

170 E College St
Unit 204
Covina, CA 91723

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663027200000",
    "number": "1457072381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 E COLLEGE ST UNIT 204",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917237008",
            "telephone_number": "626-267-2579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N GRAND AVE STE 212",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917911757",
            "telephone_number": "626-267-2579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A WHOLE NEW YOU, LICENSED CLINICAL SOCIAL WORKER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-08",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-267-2579",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lynn Gonzalez",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.