Active NPI
Lakeshia Gonzalez, LCSW
- Clinical Social Worker
- San Antonio, TX
National Provider Identifier
1801204888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW006197
- Practice address
- 70 NE Loop 410 Ste 400
San Antonio, TX 78216 - Phone
- (210) 341-3336
- NPI assigned
- Jul 23, 2014
- Last updated
- Jun 11, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | ||
| Clinical Social Worker | 1041C0700X | CSW006197 | GA | Primary |
Addresses
Primary practice location
70 NE Loop 410 Ste 400
San Antonio, TX 78216
Mailing address
8400 Veterans Pkwy Apt 2121
Columbus, GA 31909-2488
Other practice location 1
3000 Schatulga Rd
Columbus, GA 31907-3117
Phone (706) 565-3090
Other practice location 2
1800 Mercy Dr
Suite 302
Orlando, FL 32808-5646
Phone (407) 875-3700
Other names 1
- Lakeshia Martin-Ayers
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW006197 | GA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspire Health Partners, Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Orlando, FL
- NPI 1821033903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528675200000",
"number": "1801204888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8400 VETERANS PKWY APT 2121",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319092488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 NE LOOP 410 STE 400",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78216",
"telephone_number": "210-341-3336"
}
],
"practiceLocations": [
{
"address_1": "3000 Schatulga Rd",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "GA",
"postal_code": "319073117",
"country_code": "US",
"telephone_number": "706-565-3090",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1800 Mercy Dr",
"address_2": "Suite 302",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328085646",
"country_code": "US",
"telephone_number": "407-875-3700",
"fax_number": "407-522-4671",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONZALEZ",
"first_name": "LAKESHIA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-23",
"last_updated": "2018-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW006197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAKESHIA",
"last_name": "MARTIN-AYERS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.