Individual provider Active NPI

Daniel Gonzalez, LCSW

  • Clinical Social Worker
  • Manasquan, NJ
National Provider Identifier
1467241109
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06444300 Issued in NJ
Practice address
200 Atlantic Ave Ste R
Manasquan, NJ 08736-1352
Phone
(732) 292-4504
Fax
(732) 292-4505
NPI assigned
Apr 30, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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 44SC06444300 NJ Primary

Addresses

Primary practice location

200 Atlantic Ave Ste R
Manasquan, NJ 08736-1352

Mailing address

200 Atlantic Ave Ste R
Manasquan, NJ 08736-1352
Phone (732) 292-4504

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20250512002792 NJ Practitioner - Clinical Social Worker 4486171543 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC06444300NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Perlman Counseling and Supervision Services LLC CurrentSince Apr 30, 2025 Accepting new patients

Locations

200 Atlantic Ave
Ste M
Manasquan, NJ 08736
Phone (732) 292-4504

200 Atlantic Ave
Ste R
Manasquan, NJ 08736
Phone (732) 292-4504

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": "1745971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1467241109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ATLANTIC AVE STE R",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361352",
            "telephone_number": "732-292-4504",
            "fax_number": "732-292-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ATLANTIC AVE STE R",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361352",
            "telephone_number": "732-292-4504",
            "fax_number": "732-292-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "DANIEL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-30",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06444300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manasquan, NJ

Sources for this page

Verify at the official NPI Registry.