Maritza Angulo de Gonzalez, LCSW
Individual provider Active NPI Clinical Social Worker · Hartford, CT
NPI 1750311981 · NPPES record last updated May 26, 2010
Key facts
- NPI
- 1750311981
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 004597 (CT)
- Practice address
- 48 Storrs St
Hartford, CT 06106-4258 - Phone
- (860) 965-0635
- NPI assigned
- Jul 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004597 | CT | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Straun Health & Wellness | Past | Accepting new patients |
Interoperability endpoints
- maritza.angulo.de.gonzalez.1@23172.direct.athenahealth.com
- https://api.platform.athenahealth.com/23172/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 004597 | CT | Yes |
Addresses
Primary practice location
48 Storrs St
Hartford, CT 06106-4258
Mailing address
48 Storrs St
Hartford, CT 06106-4258
Phone (860) 965-0635
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 321636 | Other | CT | MHN |
| 7819545 | Other | CT | AETNA |
| 004234952 | Medicaid | CT | |
| 494566 | Other | CT | VALUE OPTIONS |
| 140004597CT01 | Other | CT | ANTHEM BCBS |
| 398612 | Other | CT | MAGELLAN BEHAVIORAL HEALT |
Other providers in Hartford, CT
- Kim Margret Andrews
- Chan Andries
- Arleen Andujar
- Angel Touchedhealthcare LLC
- Anthony Daniel Angotta
- Mythri Anil Kumar
- Belinda Anne
- Maia Annunziato
- Joseph T Anquillare Sr.
- Emily J Anstadt Lutz
All providers in Hartford, CT · Clinical Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 26, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.