Individual provider Active NPI

Melanie Cheth Gonzales, LCSW

  • Clinical Social Worker
  • San Antonio, TX
National Provider Identifier
1689219206
Registry record updated Nov 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
60170 Issued in TX
Practice address
5919 Fox Cyn
San Antonio, TX 78252-2778
Phone
(832) 308-8119
NPI assigned
Nov 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 60170 TX Primary

Addresses

Primary practice location

5919 Fox Cyn
San Antonio, TX 78252-2778

Mailing address

5919 Fox Cyn
San Antonio, TX 78252-2778
Phone (832) 308-8119

Other practice location 1

4915 San Pedro Ave
San Antonio, TX 78212
Phone (832) 308-8119

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1689219206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5919 FOX CYN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782522778",
            "telephone_number": "832-308-8119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5919 FOX CYN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782522778",
            "telephone_number": "832-308-8119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4915 San Pedro Ave",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "78212",
            "country_code": "US",
            "telephone_number": "832-308-8119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "MELANIE",
        "middle_name": "CHETH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-07",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "60170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; 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.