Candice Gonzalez, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6086447-3501 Issued in UT

Practice address

45 W 9000 S Ste 1
Sandy, UT 84070-2047

Phone

(801) 597-9558

NPI assigned

Jun 16, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Agile Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sandy, UT
  • NPI 1376050237
  NPD Authorized official

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1801830252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 W 9000 S STE 1",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840702047",
            "telephone_number": "801-597-9558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 W 9000 S STE 1",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840702047",
            "telephone_number": "801-597-9558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5695 South 900 East",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841215109",
            "country_code": "US",
            "telephone_number": "801-613-1073",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5695 South 900 East",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841215109",
            "country_code": "US",
            "telephone_number": "801-613-1073",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5802 S 900 E # 8",
            "address_purpose": "LOCATION",
            "city": "Murray",
            "state": "UT",
            "postal_code": "841211644",
            "country_code": "US",
            "telephone_number": "801-597-9558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "CANDICE",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2023-03-07",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "6086447-3501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTRMTN. HEALTH CARE",
            "identifier": "107001404101",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EDUCATORS MUTUAL",
            "identifier": "942938348F",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DESERET MUTUAL",
            "identifier": "262141",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "942938348",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terri Elise Goldstein, LCMHC
• Lateisha Lynn Golub
• Pablo M Gonzaga, LMT
• Abi Gonzalez Pennington
• Angelica P Gonzalez, ACMHC
• Good Growth Therapy
• Good Life Wellness and Education, LLC
• Lynda Goodenough, P.A.
• Sally Goodger
• Goodwill Benefits Group, LLC

• Clinical Social Worker in Sandy, UT
• Providers in Sandy, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.