Individual provider Active NPI

Michael Steven Gonzalez, LCSW

  • Clinical Social Worker
  • Bronx, NY
National Provider Identifier
1538314471
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
083273-01 Issued in NY
Practice address
2850 Claflin Ave Apt 602
Bronx, NY 10468-2228
Phone
(646) 338-2133
NPI assigned
Nov 19, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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 083273-01 NY Primary

Addresses

Primary practice location

2850 Claflin Ave Apt 602
Bronx, NY 10468-2228

Mailing address

2850 Claflin Ave Apt 602
Bronx, NY 10468-2228
Phone (646) 338-2133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20180910001196 NY Practitioner - Clinical Social Worker 3678823853 Reassigns benefits to 1 organization
Practice locations: Bronx, NY; Englewood, NJ

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
083273NYMDSocial Worker
083273-01NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA CurrentSince Nov 1, 2025 Accepting new patients
MSG CurrentSince Mar 8, 2024 Accepting new patients
St. Barnabas Hospital Past Accepting new patients
St. Barnabas Hospital Past Accepting new patients

Organizations & group practices 4

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": "1227052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1538314471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 CLAFLIN AVE APT 602",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104682228",
            "telephone_number": "646-338-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 CLAFLIN AVE APT 602",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104682228",
            "telephone_number": "646-338-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "MICHAEL",
        "middle_name": "STEVEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-19",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "083273-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.