Individual provider Active NPI

Vanessa Gonzalez

  • Clinical Social Worker
  • Mooresville, NC
National Provider Identifier
1730730383
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C018332 Issued in NC
Practice address
500 S Main St Ste 113
Mooresville, NC 28115-3550
Phone
(407) 777-4373
NPI assigned
Sep 25, 2019
Reactivated
Jul 28, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Clinical Social Worker 1041C0700X SW20442 FL
Clinical Social Worker 1041C0700X C018332 NC Primary

Addresses

Primary practice location

500 S Main St Ste 113
Mooresville, NC 28115-3550

Mailing address

138 Smokey Way
Statesville, NC 28625-2843
Phone (786) 510-2672

Other names 1

  • Vanessa Garcia Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221007000505 FL Practitioner - Clinical Social Worker 6103202510 Reassigns benefits to 2 organizations
I20251103001414 NC Practitioner - Clinical Social Worker 6103202510 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Univ of Central Florida, College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moore Consulting Holdings, LLCGroup PAC ID 6103248000, 11 clinicians

Practice addresses (Care Compare)

213 S Dillard St
Suite 120B
Winter Garden, FL 34787-3596
Phone (407) 734-3338

500 S Main St
Suite 113
Mooresville, NC 28115-3550
Phone (877) 885-5450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C018332NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Moore Consulting Holdings, LLC Counselor CurrentSince Oct 3, 2022 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Nov 5, 2025 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

5449 S Semoran Blvd
Ste 216C
Orlando, FL 32822
Phone (407) 272-6695

213 S Dillard St
Ste 120B
Winter Garden, FL 34787
Phone (407) 734-3338

3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689

500 S Main St
Ste 113
Mooresville, NC 28115
Phone (704) 893-4190

Organizations & group practices 2

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": "1569369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1730730383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 SMOKEY WAY",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286252843",
            "telephone_number": "786-510-2672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S MAIN ST STE 113",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281153550",
            "telephone_number": "407-777-4373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "VANESSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-25",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "deactivation_date": "2020-07-20",
        "reactivation_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW20442",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C018332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "GARCIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mooresville, NC

Sources for this page

Verify at the official NPI Registry.