Mandie Lynn Burgess Gonzalez, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SW143159 Issued in PA

Practice address

396 S Centre St
Pottsville, PA 17901-3596

Phone

(570) 933-0072

Fax

(570) 516-9344

NPI assigned

Oct 10, 2008

Sex

Female

Sole proprietor

Yes

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.

• Clinical Social Worker Associates, Inc.

  • Clinical Social Worker
  • Pottsville, PA
  • NPI 1144511783
  NPD
• Pottsville Peace of Mind LLC

  • Psychiatric/Mental Health Registered Nurse
  • Pottsville, PA
  • NPI 1770047151
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 11, 2025.

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1568614394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "396 S CENTRE ST STE 3",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179013597",
            "telephone_number": "570-933-0072",
            "fax_number": "570-516-9344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 S CENTRE ST",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179013596",
            "telephone_number": "570-933-0072",
            "fax_number": "570-516-9344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "649 John OHara St",
            "address_purpose": "LOCATION",
            "city": "Pottsville",
            "state": "PA",
            "postal_code": "179011607",
            "country_code": "US",
            "telephone_number": "570-933-0072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURGESS GONZALEZ",
        "first_name": "MANDIE",
        "middle_name": "LYNN",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-10",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE008109",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW143159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Brown
• Patricia M Brownmiller, MA
• Brandi Bruton, DO
• Stephanie Buchanan, RD
• Amber Buehl, CRNP
• Sherry L Burinsky-Bottor, CRNA
• Ann Marie Burke, MACCCSLP
• Melissa Ann Burke, D.M.D.
• Margaret Anne Byrne
• Rachael Ann Caccese

• All providers in Pottsville, PA
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; 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.