Individual provider Active NPI

Evangelina E Gonzalez-Dufresne, MSW, LICSW

  • Clinical Social Worker
  • Worcester, MA
National Provider Identifier
1528178795
Registry record updated Jun 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
115725 Issued in MA
Practice address
199 Chandler St
Worcester, MA 01609-3088
Phone
(508) 860-7700
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2026

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 115725 MA Primary

Addresses

Primary practice location

199 Chandler St
Worcester, MA 01609-3088

Mailing address

199 Chandler St
Worcester, MA 01609-3088
Phone (508) 860-7700

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: Yes
  • 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
214184MAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Center of Worcester, Inc. Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781913600000",
    "number": "1528178795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 CHANDLER ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016093088",
            "telephone_number": "508-860-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 CHANDLER ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016093088",
            "telephone_number": "508-860-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ-DUFRESNE",
        "first_name": "EVANGELINA",
        "middle_name": "E",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2026-06-20",
        "certification_date": "2026-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "115725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.