Organization Active NPI

Real Talk Therapy LCSW PLLC

  • Clinical Social Worker
  • Corning, NY
National Provider Identifier
1548083090
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
REAL TALK THERAPY LCSW PLLC
Practice address
105 E 1St St Ste 202
Corning, NY 14830-2710
Phone
(607) 205-8848
Fax
(607) 201-0300
NPI assigned
Nov 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Authorized official

Name
Natali Gonzalez, LCSWNPI 1770287765
Title
Owner
Phone
(607) 205-8848

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

105 E 1St St Ste 202
Corning, NY 14830-2710

Mailing address

105 E 1St St Ste 202
Corning, NY 14830-2710
Phone (607) 205-8848

Other identifiers 1

IdentifierTypeStateIssuer
1770287765OtherNYNPI ENUMERATOR

National Provider Directory

National Provider Directory

Locations

105 E 1st St
Ste 202
Corning, NY 14830

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780963200000",
    "number": "1548083090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 E 1ST ST STE 202",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148302710",
            "telephone_number": "607-205-8848",
            "fax_number": "607-201-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E 1ST ST STE 202",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148302710",
            "telephone_number": "607-205-8848",
            "fax_number": "607-201-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAL TALK THERAPY LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-04",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "NATALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "607-205-8848",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI ENUMERATOR",
            "identifier": "1770287765",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corning, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.