Individual provider Active NPI

Karina Gonzalez, LCSW

  • Clinical Social Worker
  • Doral, FL
National Provider Identifier
1467177378
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW20527 Issued in FL
Practice address
7915 NW 104TH Ave Apt 31
Doral, FL 33178-4473
Phone
(786) 253-8963
NPI assigned
Oct 4, 2022
Last updated
Feb 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Clinical Social Worker 1041C0700X SW20527 FL Primary

Addresses

Primary practice location

7915 NW 104TH Ave Apt 31
Doral, FL 33178-4473

Mailing address

7915 NW 104TH Ave Apt 31
Doral, FL 33178-4473
Phone (786) 253-8963

Other practice location 1

9350 Sunset Dr Ste 151
Miami, FL 33173-3286
Phone (786) 548-1022

Medicare participation

Medicare enrollment files
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW20527FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Dade Family Counseling Community Mental Health Center, Inc CurrentSince Oct 27, 2022 Accepting new patients

Locations

1951 NW 17th Ave
Miami, FL 33125
Phone (305) 324-5989

9350 Sunset Dr
Ste 151
Miami, FL 33173
Phone (786) 548-1022

Organizations & group practices 1

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": "1664841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1467177378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7915 NW 104TH AVE APT 31",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331784473",
            "telephone_number": "786-253-8963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7915 NW 104TH AVE APT 31",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331784473",
            "telephone_number": "786-253-8963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9350 Sunset Dr Ste 151",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331733286",
            "country_code": "US",
            "telephone_number": "786-548-1022",
            "fax_number": "786-542-5326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "KARINA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-04",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW20527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

Verify at the official NPI Registry.