Individual provider Active NPI

Alondra Gonzalez

  • Social Worker
  • Joliet, IL
National Provider Identifier
1831820109
Registry record updated Jun 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150105913 Issued in IL
Practice address
1131 Deephaven Dr
Joliet, IL 60432-1416
Phone
(815) 661-1524
NPI assigned
Jun 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150105913 IL Primary

Addresses

Primary practice location

1131 Deephaven Dr
Joliet, IL 60432-1416

Mailing address

1131 Deephaven Dr
Joliet, IL 60432-1416

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250109001873 IL Practitioner - Clinical Social Worker 5698203248 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
150105913ILMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Waterford Counseling and Psychological Services, PC CurrentSince Dec 9, 2024 Accepting new patients

Locations

1256 Waterford Dr
Ste 140
Aurora, IL 60504
Phone (630) 898-5322

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655510400000",
    "number": "1831820109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 DEEPHAVEN DR",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604321416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 DEEPHAVEN DR",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604321416",
            "telephone_number": "815-661-1524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ALONDRA",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-18",
        "last_updated": "2022-06-18",
        "certification_date": "2022-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150105913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.