Individual provider Active NPI

Yessica Nayeli Lawson Gonzalez

  • Clinical Social Worker
  • Elkhart, IN
National Provider Identifier
1740934520
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34010758A Issued in IN
Practice address
240 Waterfall Dr
Elkhart, IN 46516-3668
Phone
(574) 222-6514
NPI assigned
Feb 9, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 33010019 IN
Social Worker 104100000X 33010019A IN
Clinical Social Worker 1041C0700X 34010758A IN Primary

Addresses

Primary practice location

240 Waterfall Dr
Elkhart, IN 46516-3668

Mailing address

50832 Acorn TRL
Elkhart, IN 46514-7730
Phone (574) 222-6514

Other names 1

  • Yessica Nayeli Gonzalez Torres Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IN2 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
I20250805002347 MI Practitioner - Clinical Social Worker 0648788190 Reassigns benefits to 1 organization
I20250805002510 IN Practitioner - Clinical Social Worker 0648788190 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33010019INMDSocial Worker
33010019AINMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Serenidad Counseling LLC CurrentSince Feb 4, 2024 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Jul 1, 2025 Accepting new patients

Locations

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

9465 Counselors Row
Ste 200
Indianapolis, IN 46240
Phone (463) 220-4646

250 Monroe Ave NW
Ste 400
Grand Rapids, MI 49503
Phone (616) 441-4616

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": "1644364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1740934520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50832 ACORN TRL",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465147730",
            "telephone_number": "574-222-6514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 WATERFALL DR",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465163668",
            "telephone_number": "574-222-6514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWSON GONZALEZ",
        "first_name": "YESSICA",
        "middle_name": "NAYELI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-09",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "33010019",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "33010019A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34010758A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YESSICA",
            "last_name": "GONZALEZ TORRES",
            "middle_name": "NAYELI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Elkhart, IN

Sources for this page

Verify at the official NPI Registry.