Damara Gonzalez

Primary specialty

Social WorkerTaxonomy code 104100000X

License

103935-1 Issued in NY

Practice address

3636 33Rd St Ste 502
Astoria, NY 11106-2329

Phone

(718) 426-8110

NPI assigned

Apr 1, 2016

Last updated

Apr 5, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/bleulerpc/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bleuler Psychotherapy Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Forest Hills, NY
  • NPI 1801949706
  Medicare reassignment NPD
• Queens Counseling Services LCSW, PLLC

  dba Queens Counseling Services, PLLC

  • Clinical Social Worker
  • Astoria, NY
  • NPI 1477815280
  NPD

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1750744298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3415 12TH ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111065055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 33RD ST STE 502",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111062329",
            "telephone_number": "718-426-8110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6714 41st Ave",
            "address_purpose": "LOCATION",
            "city": "Woodside",
            "state": "NY",
            "postal_code": "113778128",
            "country_code": "US",
            "telephone_number": "718-459-4243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "DAMARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-01",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "103935",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "103935-1",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": "111733454",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dgonzalez@queenscounselingservices.net",
            "affiliation": "Y",
            "endpointDescription": "work email address",
            "affiliationName": "Queens Counseling Services LCSW, PLLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Confidential emails regarding clients",
            "address_1": "3636 33rd St Ste 502",
            "city": "Astoria",
            "state": "NY",
            "country_code": "US",
            "postal_code": "111062329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Artemis V Golfinopoulos, RPH
• Elizabeth Propa Gomes, LMSW, CASAC-T
• Peter Gontzes, M.D.
• Henriett Adrienn Gonzales-Guillaury, MED
• Dalia Gonzalez, SPECIAL EDUCATION ED
• Pedro M Gonzalez
• Shari Goodhart
• Goodwill Industries of Greater New York and Northern New Jersey, Inc
• Dominique Goodwin, PA
• Erica Ilissa Goolnick

• Social Worker in Astoria, NY
• Providers in Astoria, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.