Amber Gonzales, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34011088A Issued in IN

Practice address

1901 W Western Ave Ste B
South Bend, IN 46619-3570

Phone

(574) 234-9033

Fax

(574) 847-7200

NPI assigned

Jun 29, 2022

Last updated

Jun 7, 2024By 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

Other names 1

• Amber Hardcastle Former name

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Clinical Social Worker

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Indiana Health Centers IncGroup PAC ID 3971599473, 63 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Indiana Health Centers, Inc.

  dba Indiana Health Centers South Bend at Oaklawn

  • Federally Qualified Health Center (FQHC)
  • Indianapolis, IN
  • NPI 1598776742
  Medicare reassignment Care Compare group NPD
• Indiana Health Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Indianapolis, IN
  • NPI 1942303086
  NPD
• Indiana Health Centers, Inc

  dba IHC at Bendix Community Health Center

  • Federally Qualified Health Center (FQHC)
  • South Bend, IN
  • NPI 1780065672
  NPD (past)
• Indiana Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • South Bend, IN
  • NPI 1174626014
  NPD (past)
• Indiana Health Centers, Inc.

  dba IHC at Michigan St

  • Federally Qualified Health Center (FQHC)
  • South Bend, IN
  • NPI 1306957311
  NPD (past)

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1922730787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8003 CASTLEWAY DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462501946",
            "telephone_number": "317-576-1335",
            "fax_number": "317-343-6562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 W WESTERN AVE STE B",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466193570",
            "telephone_number": "574-234-9033",
            "fax_number": "574-847-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "AMBER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-29",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34011088A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "HARDCASTLE",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Melanie Goldschmidt, D.O
• Mitchell Robert Goldstein, M.D.
• Paul Goldwin, DDS
• Cameron R. Gongwer, MD
• Curtis L Gongwer, MD
• Brenda Gonzalez
• Itzel Gonzalez
• Jennifer Gonzalez
• Karla Gonzalez, RBT
• Jacob Dale Good

• Clinical Social Worker in South Bend, IN
• Providers in South Bend, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.