Janine Gonzalez, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1095 Issued in CO

Practice address

12315 NCR 15
Wellington, CO 80549-8100

Phone

(970) 568-3477

NPI assigned

Feb 18, 2009

Sex

Female

Sole proprietor

Yes

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.

• Longmont United Hospital

  • General Acute Care Hospital
  • Longmont, CO
  • NPI 1366465866
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 4, 2018.

{
    "created_epoch": "1234915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1457590291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 116",
            "city": "WELLINGTON",
            "state": "CO",
            "postal_code": "805490116",
            "telephone_number": "970-568-3477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12315 NCR 15",
            "city": "WELLINGTON",
            "state": "CO",
            "postal_code": "805498100",
            "telephone_number": "970-568-3477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "617 Garfield Ave",
            "address_purpose": "LOCATION",
            "city": "Walden",
            "state": "CO",
            "postal_code": "80480",
            "country_code": "US",
            "telephone_number": "970-568-3477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "JANINE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-18",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "1095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Garrett, LPC NCC CACIII
• Genesis Nutrition LLC
• Kyreija Jade Gingras Lamothe
• Ellie Gipson
• Daneen Pua Godinet
• Steven Gonzalez, L.C.S.W.
• Leah Guerrero
• Rachel Kathleen Hayes, LPC, EMDR
• Erin Herlihy
• Amy Hoch

• All providers in Wellington, CO
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; 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.