Active NPI
Maricela Gonzalez
- Social Worker
- Hemet, CA
National Provider Identifier
1689087017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 1105 E Florida Ave
Hemet, CA 92543-4512 - Phone
- (951) 439-2954
- NPI assigned
- Jun 3, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 96564 | CA | |
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
1105 E Florida Ave
Hemet, CA 92543-4512
Mailing address
1105 E Florida Ave
Hemet, CA 92543-4512
Phone (951) 439-2954
Other practice location 1
31946 Mission Trl Ste B
Lake Elsinore, CA 92530-4539
Phone (951) 245-7663
Other practice location 2
555 N Perris Blvd Bldg A
Perris, CA 92571-2811
Phone (951) 436-5300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 96564 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Victor Community Support Services, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Perris, CA
- NPI 1629240270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611014400000",
"number": "1689087017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1105 E FLORIDA AVE",
"city": "HEMET",
"state": "CA",
"postal_code": "925434512",
"telephone_number": "951-439-2954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1105 E FLORIDA AVE",
"city": "HEMET",
"state": "CA",
"postal_code": "925434512",
"telephone_number": "951-439-2954"
}
],
"practiceLocations": [
{
"address_1": "31946 Mission Trl Ste B",
"address_purpose": "LOCATION",
"city": "Lake Elsinore",
"state": "CA",
"postal_code": "925304539",
"country_code": "US",
"telephone_number": "951-245-7663",
"fax_number": "951-674-6431",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "555 N Perris Blvd Bldg A",
"address_purpose": "LOCATION",
"city": "Perris",
"state": "CA",
"postal_code": "925712811",
"country_code": "US",
"telephone_number": "951-436-5300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONZALEZ",
"first_name": "MARICELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-03",
"last_updated": "2021-01-19",
"certification_date": "2021-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "96564",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hemet, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.