Individual provider Active NPI

Antonio Alberto Gonzalez, LBSW

  • Social Worker
  • McAllen, TX
National Provider Identifier
1548563554
Registry record updated Dec 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
54452 Issued in TX
Practice address
712 Lindberg Ave
McAllen, TX 78501-2928
Phone
(956) 720-0684
Fax
(956) 467-1075
NPI assigned
Dec 13, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 54452 TX Primary

Addresses

Primary practice location

712 Lindberg Ave
McAllen, TX 78501-2928

Mailing address

4318 Twin Cir
Edinburg, TX 78542-7114
Phone (956) 789-8081

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

LicenseStateTypeSpecialty
54452TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Upstart Investments LTD 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": "1292198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292198400000",
    "number": "1548563554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4318 TWIN CIR",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785427114",
            "telephone_number": "956-789-8081",
            "fax_number": "956-467-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 LINDBERG AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785012928",
            "telephone_number": "956-720-0684",
            "fax_number": "956-467-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ANTONIO",
        "middle_name": "ALBERTO",
        "name_prefix": "Mr.",
        "credential": "LBSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-13",
        "last_updated": "2010-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "54452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; 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.