NPIMap

Organization Active NPI

Maria G. Gonzalez, a Licensed Clinical Social Worker Corporation

  • Adult Mental Health Clinic/Center
  • Fullerton, CA
National Provider Identifier
1821806209
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
MARIA G. GONZALEZ, A LICENSED CLINICAL SOCIAL WORKER CORPORATION
Practice address
1950 E Chapman Ave Ste 3
Fullerton, CA 92831-4141
Phone
(657) 200-8440
NPI assigned
Dec 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Authorized official

Name
Maria Guadalupe Gonzalez, LCSWNPI 1407455645
Title
Owner/Therapisr
Phone
(657) 200-8440

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

1950 E Chapman Ave Ste 3
Fullerton, CA 92831-4141

Mailing address

1950 E Chapman Ave Ste 3
Fullerton, CA 92831-4141
Phone (657) 200-8440

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1734480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1821806209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 E CHAPMAN AVE STE 3",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928314141",
            "telephone_number": "657-200-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 E CHAPMAN AVE STE 3",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928314141",
            "telephone_number": "657-200-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA G. GONZALEZ, A LICENSED CLINICAL SOCIAL WORKER CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-18",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "GUADALUPE",
        "authorized_official_title_or_position": "OWNER/THERAPISR",
        "authorized_official_telephone_number": "657-200-8440",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.