Selina Gonzalez, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

44SL07165000 Issued in NJ

Practice address

7 London Rd
Burlington, NJ 08016-2972

Phone

(609) 614-7495

NPI assigned

Jan 16, 2020

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Peak Center for Autism LLC

  • Community/Behavioral Health Agency
  • Burlington, NJ
  • NPI 1003290107
  NPD (past)

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

{
    "created_epoch": "1579132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1457981672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 LONDON RD",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080162972",
            "telephone_number": "856-308-6277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 LONDON RD",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080162972",
            "telephone_number": "609-614-7495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "SELINA",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-16",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL07165000",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": "NJ",
            "license": "RBT-20-110246",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Glickstein, LPC
• Goddard Home Health Care
• Goddard Home Health Care
• Kristina Lynn Goetz, APN
• Julianne Goldy, RBT
• Neal L Gordon, D.D.S.
• Ashtyn Goshaw, M.S. CCC-SLP
• Carolyn Gould, MD
• Kiana M Gould, LPN
• Alexandra Leigh Gouveia, RBT

• Social Worker in Burlington, NJ
• Providers in Burlington, NJ by specialty
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.