Active NPI
Kristine M Gonzales, MSW, LSW
- Social Worker
- Maumee, OH
National Provider Identifier
1902673015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.1000266
- Practice address
- 1627 Henthorne Dr Ste C
Maumee, OH 43537-1370 - Phone
- (419) 740-5449
- NPI assigned
- Dec 8, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S.1000266 | OH | Primary |
Addresses
Primary practice location
1627 Henthorne Dr Ste C
Maumee, OH 43537-1370
Mailing address
125 Walnut St
Rossford, OH 43460-1248
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.1000266 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unison Behavioral Health Group, Inc. | Past | Accepting new patients | |
| Unison Behavioral Health Group, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
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- NPI 1306105382
-
- Community/Behavioral Health Agency
- Toledo, OH
- NPI 1952370561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701993600000",
"number": "1902673015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 WALNUT ST",
"city": "ROSSFORD",
"state": "OH",
"postal_code": "434601248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1627 HENTHORNE DR STE C",
"city": "MAUMEE",
"state": "OH",
"postal_code": "435371370",
"telephone_number": "419-740-5449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALES",
"first_name": "KRISTINE",
"middle_name": "M",
"credential": "MSW, LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-08",
"last_updated": "2023-12-08",
"certification_date": "2023-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.1000266",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maumee, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.