Organization Active NPI

Lorraine Gonzalez LCSW PLLC

  • Clinical Social Worker
  • Merrick, NY
National Provider Identifier
1669926135
Registry record updated Aug 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R076167 Issued in NY
Legal business name
LORRAINE GONZALEZ LCSW PLLC
Practice address
2174 Hewlett Ave
Suite 211
Merrick, NY 11566-3606
Phone
(917) 396-2290
NPI assigned
Aug 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2016

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

Authorized official

Name
Ms. Lorraine Gonzalez, LCSW
Title
Owner
Phone
(917) 396-2290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X R076167 NY Primary

Addresses

Primary practice location

2174 Hewlett Ave
Suite 211
Merrick, NY 11566-3606

Mailing address

921 Lee Rd
Wantagh, NY 11793-1025
Phone (917) 396-2290

National Provider Directory

National Provider Directory

Locations

2174 Hewlett Ave
Ste 211
Merrick, NY 11566
Phone (516) 226-0374

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1470960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470960000000",
    "number": "1669926135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 LEE RD",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117931025",
            "telephone_number": "917-396-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2174 HEWLETT AVE",
            "address_2": "SUITE 211",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663606",
            "telephone_number": "917-396-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORRAINE GONZALEZ LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-12",
        "last_updated": "2016-08-12",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "LORRAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-396-2290",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R076167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrick, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2016; 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.