Terri Lynn Gonsalves, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

116238 Issued in CA

Practice address

6945 Old Highway 53
Clearlake, CA 95422-9381

Phone

(707) 995-9523

Fax

(707) 995-9059

NPI assigned

Jun 6, 2012

Last updated

Jul 13, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lake County Office of Education

  • Local Education Agency (LEA)
  • Clearlake, CA
  • NPI 1861820979
  NPD (past)

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752364800000",
    "number": "1619238656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 432",
            "city": "MIDDLETOWN",
            "state": "CA",
            "postal_code": "954610432",
            "telephone_number": "707-888-3487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6945 OLD HIGHWAY 53",
            "city": "CLEARLAKE",
            "state": "CA",
            "postal_code": "954229381",
            "telephone_number": "707-995-9523",
            "fax_number": "707-995-9059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9980 Mill St.",
            "address_purpose": "LOCATION",
            "city": "Lower Lake",
            "state": "CA",
            "postal_code": "954578131",
            "country_code": "US",
            "telephone_number": "707-533-9436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONSALVES",
        "first_name": "TERRI",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "MSW,  LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-06",
        "last_updated": "2025-07-13",
        "certification_date": "2025-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "116238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manush Ghazaryan, MD
• April Michelle Giambra, ASW 129549
• Felicity Ann Michelle Gilgert, LVN
• Andi M Gletty, CADCII A3773397
• David Golergant, MD
• Julia Marie Gray
• John S Green
• Gurinder S Grewal, RPH
• Simranjit Kaur Grewal
• Laurie K Halversen, LCSW

• Clinical Social Worker in Clearlake, CA
• Providers in Clearlake, CA by specialty
• Clinical Social Worker in California

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