Individual provider Active NPI

Alberto Gonzalez, LCSW

  • Clinical Social Worker
  • Fort Drum, NY
National Provider Identifier
1952840050
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
093244 Issued in NY
Practice address
11050 Mount Belvedere Blvd
Fort Drum, NY 13602-5438
Phone
(315) 772-1015
NPI assigned
Feb 22, 2017
Last updated
Apr 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 099658 NY
Clinical Social Worker 1041C0700X 093244 NY Primary

Addresses

Primary practice location

11050 Mount Belvedere Blvd
Fort Drum, NY 13602-5438

Mailing address

11050 Mt Belvedere Blvd
Fort Drum, NY 13602-2603
Phone (315) 772-1074

Other practice location 1

211 JB Wise Plaza
Watertown, NY 13601
Phone (315) 782-7445

Other practice location 2

4430 Missouri Ave # 1267
Fort Leonard Wood, MO 65473-9098
Phone (573) 596-6897

Other practice location 3

4 Fuller St
Alexandria Bay, NY 13607-1316
Phone (315) 482-2511

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
099658NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Home of Jefferson County CurrentSince Oct 8, 2020 Accepting new patients
Children's Home of Jefferson County CurrentSince Sep 10, 2023 Accepting new patients

Locations

211 Jb Wise Pl
Watertown, NY 13601
Phone (315) 779-1184

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1952840050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11050 MT BELVEDERE BLVD",
            "city": "FORT DRUM",
            "state": "NY",
            "postal_code": "136022603",
            "telephone_number": "315-772-1074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11050 MOUNT BELVEDERE BLVD",
            "city": "FORT DRUM",
            "state": "NY",
            "postal_code": "136025438",
            "telephone_number": "315-772-1015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 JB Wise Plaza",
            "address_purpose": "LOCATION",
            "city": "Watertown",
            "state": "NY",
            "postal_code": "13601",
            "country_code": "US",
            "telephone_number": "315-782-7445",
            "fax_number": "315-779-1184",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4430 Missouri Ave # 1267",
            "address_purpose": "LOCATION",
            "city": "Fort Leonard Wood",
            "state": "MO",
            "postal_code": "654739098",
            "country_code": "US",
            "telephone_number": "573-596-6897",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4 Fuller St",
            "address_purpose": "LOCATION",
            "city": "Alexandria Bay",
            "state": "NY",
            "postal_code": "136071316",
            "country_code": "US",
            "telephone_number": "315-482-2511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ALBERTO",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-22",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "099658",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "093244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Drum, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; 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.