Active NPI
Alberto Gonzalez, LCSW
- Clinical Social Worker
- Fort Drum, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 093244
- Practice address
- 11050 Mount Belvedere Blvd
Fort Drum, NY 13602-5438 - Phone
- (315) 772-1015
- NPI assigned
- Feb 22, 2017
- Last updated
- Apr 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 099658 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Home of Jefferson County | Current | Accepting new patients | |
| Children's Home of Jefferson County | Current | 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.
-
- Community/Behavioral Health Agency
- Watertown, NY
- NPI 1538455696
-
- Case Management Agency
- Watertown, NY
- NPI 1770625527
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.