Individual provider Active NPI

Leslie R Gonzalez, LCSW

  • Clinical Social Worker
  • Greensboro, NC
National Provider Identifier
1720484074
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P009258 Issued in NC
Practice address
1250 Revolution Mill Dr Ste 126
Greensboro, NC 27405-5195
Phone
(336) 223-4930
Fax
(336) 551-9566
NPI assigned
Nov 14, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2026

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 P009258 NC Primary

Addresses

Primary practice location

1250 Revolution Mill Dr Ste 126
Greensboro, NC 27405-5195

Mailing address

1250 Revolution Mill Dr Ste 126
Greensboro, NC 27405-5195
Phone (336) 223-4930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210617002482 NC Practitioner - Clinical Social Worker 6709286321 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1250 Revolution Mill Dr
Suite 126
Greensboro, NC 27405-5195
Phone (336) 223-6041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P009258NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
H3 - Hope, Health & Healing PLLC Clinical CurrentSince Feb 3, 2021 Accepting new patients

Locations

1250 Revolution Mill Dr
Ste 126
Greensboro, NC 27405
Phone (336) 223-4930

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.

NPI Registry JSON

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

{
    "created_epoch": "1415923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1720484074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 REVOLUTION MILL DR STE 126",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274055195",
            "telephone_number": "336-223-4930",
            "fax_number": "336-551-9566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 REVOLUTION MILL DR STE 126",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274055195",
            "telephone_number": "336-223-4930",
            "fax_number": "336-551-9566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "LESLIE",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-14",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P009258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.