Notoria Adriannce Gonzales, BSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

2528 Ridge Runner Rd
Las Vegas, NM 87701-4971

Phone

(505) 425-2622

Fax

(505) 425-9223

NPI assigned

Jan 29, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kids Counseling, Inc

  • Clinical Social Worker
  • Mora, NM
  • NPI 1750715645
  NPD
• Carino Family Services Inc

  • Community/Behavioral Health Agency
  • Las Vegas, NM
  • NPI 1093149056
  NPD (past)

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

{
    "created_epoch": "1611878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1811588122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2528 RIDGE RUNNER RD",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014971",
            "telephone_number": "505-425-2622",
            "fax_number": "505-425-9223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2528 RIDGE RUNNER RD",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014971",
            "telephone_number": "505-425-2622",
            "fax_number": "505-425-9223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "NOTORIA",
        "middle_name": "ADRIANNCE",
        "credential": "BSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-29",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@kidscounselingnm.com",
            "affiliation": "N",
            "address_1": "2528 Ridge Runner Rd",
            "city": "Las Vegas",
            "state": "NM",
            "country_code": "US",
            "postal_code": "877014971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Keni Ann Gonzales
• Linda M Gonzales
• Mariah Gonzales
• Marisa Gonzales
• Michelle Gonzales
• Manuel Gonzalez-Cuervo, M.D.
• David Goulsby, BMS
• Grano de Oro Family Mental Health Services
• Rudy Fidencio Grano, PSYD
• Tara Grano, RN

• Social Worker in Las Vegas, NM
• Providers in Las Vegas, NM by specialty
• Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; 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.