Organization Active NPI

LL Gonce Inc

  • Clinical Social Worker
  • Portland, OR
National Provider Identifier
1831520493
Registry record updated Dec 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L2426 Issued in OR
Legal business name
LL GONCE INC
Practice address
1318 NW 20TH Ave # a-1
Portland, OR 97209-1671
Phone
(503) 704-3064
Fax
(503) 961-7703
NPI assigned
Dec 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2013

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

Authorized official

Name
Laura Lee Gonce, LCSW
Title
President
Phone
(503) 704-3064

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X L2426 OR Primary

Addresses

Primary practice location

1318 NW 20TH Ave # a-1
Portland, OR 97209-1671

Mailing address

1736 N Willamette Blvd
Portland, OR 97217-4415

National Provider Directory

National Provider Directory

Locations

1318 NW 20th Ave
Ste 1A
Portland, OR 97209
Phone (503) 704-3064

1318 NW 20th Ave
#A1
Portland, OR 97209
Phone (503) 704-3064

NPI Registry JSON

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

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386547200000",
    "number": "1831520493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1736 N WILLAMETTE BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972174415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 NW 20TH AVE # A-1",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972091671",
            "telephone_number": "503-704-3064",
            "fax_number": "503-961-7703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LL GONCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-09",
        "last_updated": "2013-12-09",
        "status": "A",
        "authorized_official_last_name": "GONCE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-704-3064",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L2426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; 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.