Rachel Gonzalez, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC06113800 Issued in NJ

Practice address

1 Main St Ste 314
Eatontown, NJ 07724-3905

Phone

(800) 605-0612

NPI assigned

Sep 14, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Rachel Garduce Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Modern Therapy, LLC

  • Psychologist
  • Eatontown, NJ
  • NPI 1861910747
  NPD

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1649992884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8271 S VIA DEL FORJADOR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857475390",
            "telephone_number": "973-349-7591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MAIN ST STE 314",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077243905",
            "telephone_number": "800-605-0612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "RACHEL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-14",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06113800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rachel@moderntherapy.online",
            "affiliation": "N",
            "address_1": "1 Main St Ste 314",
            "city": "Eatontown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "077243905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "GARDUCE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christopher Charles Gillis, MD
• Laurie Goldman
• Linda Golub, P.A.
• Olivia Gomz, LSW
• Kevin Luis Gonzalez, PT
• Steven Alan Gorcey, M.D.
• Kelly Ann Graham, MA-SLP
• Gabriella Grand-Pierre, OD
• Alexandra Granovsky, PHARMD
• Marissa Greco, LPC

• Clinical Social Worker in Eatontown, NJ
• Providers in Eatontown, 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 Mar 20, 2024; 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.