Miriam Gonzalez, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R029450-1 Issued in NY

Practice address

25 Chapel St
Suite 704
Brooklyn, NY 11201-1952

Phone

(718) 522-7300

Fax

(718) 522-5280

NPI assigned

Oct 28, 2008

Last updated

Oct 28, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225152000000",
    "number": "1477706026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2071 N RAILROAD AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062733",
            "telephone_number": "718-668-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CHAPEL ST",
            "address_2": "SUITE 704",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112011952",
            "telephone_number": "718-522-7300",
            "fax_number": "718-522-5280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "MIRIAM",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R029450-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Marie Gonzalez, MHC-LP
• Michelle Gonzalez
• Michelle Lynn Gonzalez, BSN, RN
• Migdalia Gonzalez
• Migdalia I Gonzalez, LCSW
• Neisha Gonzalez
• Nelson Gonzalez, M.A., CCC-SLP
• Nicole Gonzalez
• Nicole Lynn Gonzalez, LCSW
• Nicole Paulina Gonzalez

• Clinical Social Worker in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.