Kristin Grace Gonzalez, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S.0031772 Issued in OH

Practice address

1129 Miamisburg Centerville Rd Ste 201
West Carrollton, OH 45449-4052

Phone

(937) 866-4021

NPI assigned

May 17, 2018

Last updated

May 17, 2018By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526515200000",
    "number": "1871083626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 MIAMISBURG CENTERVILLE RD STE 201",
            "city": "WEST CARROLLTON",
            "state": "OH",
            "postal_code": "454494052",
            "telephone_number": "937-866-4021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 MIAMISBURG CENTERVILLE RD STE 201",
            "city": "WEST CARROLLTON",
            "state": "OH",
            "postal_code": "454494052",
            "telephone_number": "937-866-4021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "KRISTIN",
        "middle_name": "GRACE",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-17",
        "last_updated": "2018-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.0031772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Alane Gibbs, RN
• Esperance Gikundiro
• Tim Ramon Giles
• Christina Gluck
• Mikeya Golding
• Deborah Lynne Gordon, M.A., CCC-SLP
• Jeffrey Robert Gorny
• Graceworks Enhanced Living (West Main)
• Greensprings Home Health Care LLC
• Trisha Grimm, BSW LSW

• Social Worker in West Carrollton, OH
• Providers in West Carrollton, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; 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.