Active NPI
Adrian Marcelino Gonzalez, MSW, ACSW
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1952990897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 116823
- Practice address
- 5427 Whittier Blvd
Los Angeles, CA 90022-4101 - Phone
- (323) 869-5448
- NPI assigned
- Jan 14, 2021
- 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 | |||
| Clinical Social Worker | 1041C0700X | 116823 | CA | Primary |
Addresses
Primary practice location
5427 Whittier Blvd
Los Angeles, CA 90022-4101
Mailing address
PO Box 18374
Long Beach, CA 90807-8374
Phone (323) 427-5892
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 |
|---|---|---|---|
| 116823 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702944000000",
"number": "1952990897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 18374",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908078374",
"telephone_number": "323-427-5892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5427 WHITTIER BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900224101",
"telephone_number": "323-869-5448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "ADRIAN",
"middle_name": "MARCELINO",
"credential": "MSW, ACSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-14",
"last_updated": "2023-12-19",
"certification_date": "2023-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "116823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.