Active NPI
Thomas Gonzalez, CSW
- Clinical Social Worker
- Allentown, PA
National Provider Identifier
1568418853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW012869
- Practice address
- 1255 S Cedar Crest Blvd
Suite 3800
Allentown, PA 18103-6256 - Phone
- (610) 402-5900
- NPI assigned
- May 26, 2006
- Sex
- Male
- Sole proprietor
- No
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 | CW012869 | PA | Primary |
Addresses
Primary practice location
1255 S Cedar Crest Blvd
Suite 3800
Allentown, PA 18103-6256
Mailing address
PO Box 1754
Allentown, PA 18105-1754
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CW012869 | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pennsylvania Assessment Consultants for Co Occurring Disorders LLC | Past | Accepting new patients | |
| The Guidance Program | Past | Accepting new patients | |
| American Behavioral Counseling | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Psychiatry Physician
- Allentown, PA
- NPI 1871584508
-
dba Pacco LLC
- Addiction (Substance Use Disorder) Counselor
- Northampton, PA 18067, PA
- NPI 1326205170
-
- Psychiatry Physician
- Allentown, PA
- NPI 1730134156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287100800000",
"number": "1568418853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1754",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181051754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1255 S CEDAR CREST BLVD",
"address_2": "SUITE 3800",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181036256",
"telephone_number": "610-402-5900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "THOMAS",
"credential": "CSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-26",
"last_updated": "2010-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW012869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Allentown, PA
- Helen Gonzalez, DO
- Karen Gonzalez, CRNP
- Kristina Gonzalez
- Sherlyn Gonzalez, MSW
- Tamara Gonzalez, CRNP
- Good Shepherd at Home LLC
- Good Shepherd Home Long Term Care Facility, Inc (Good Shepherd Home Raker Center)
- Good Shepherd Rehabilitation Hospital (Good Shepherd Physician Group)
- Good Shepherd Rehabilitation Hospital (Good Shepherd Rehab Hospital Department of Psychology)
- Chelsea Renee Goode
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.