Michael Gonzales, LCSW, LCADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC06095300 Issued in NJ

Practice address

65 South St FL 2
Freehold, NJ 07728-2348

Phone

(732) 546-2453

NPI assigned

Oct 22, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1639645195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 DEER TRAIL DR",
            "city": "MILLSTONE TOWNSHIP",
            "state": "NJ",
            "postal_code": "085101509",
            "telephone_number": "732-546-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 SOUTH ST FL 2",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282348",
            "telephone_number": "732-546-2453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "MICHAEL",
        "credential": "LCSW, LCADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-22",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00285800",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06095300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCADC",
            "identifier": "37LC00285800",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven A Goldstein, MD
• Tobie Goldstein, LCSW
• Rosa Gomez
• Wen Gong
• Antero B Gonzales, M.D.
• Aimee Lynn Gonzalez, DACM, L. AC
• Kylee Gonzalez, APN
• Indu Gopal, MD
• Gordon Miller Dental
• Jill S Gordon, AUD

• Clinical Social Worker in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; 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.