Active NPI
Harold Gonzales, LCSW
- Clinical Social Worker
- Miami Springs, FL
National Provider Identifier
1497134928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 12308
- Practice address
- 700 S Royal Poinciana Blvd
Miami Springs, FL 33166-6600 - Phone
- (305) 668-9000
- Fax
- (305) 662-1788
- NPI assigned
- May 29, 2015
- Last updated
- May 29, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 12308 | FL | Primary |
Addresses
Primary practice location
700 S Royal Poinciana Blvd
Miami Springs, FL 33166-6600
Mailing address
700 S Royal Poinciana Blvd
Miami Springs, FL 33166-6600
Phone (305) 668-9000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12308 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432857600000",
"number": "1497134928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 S ROYAL POINCIANA BLVD",
"city": "MIAMI SPRINGS",
"state": "FL",
"postal_code": "331666600",
"telephone_number": "305-668-9000",
"fax_number": "305-662-1788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 S ROYAL POINCIANA BLVD",
"city": "MIAMI SPRINGS",
"state": "FL",
"postal_code": "331666600",
"telephone_number": "305-668-9000",
"fax_number": "305-662-1788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALES",
"first_name": "HAROLD",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-05-29",
"last_updated": "2015-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "12308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.