Jessica M Gonzalez, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

15347 Issued in PR

Practice address

Consolidated Mall Anexo B5
Caguas, PR 00726-0072

Phone

(787) 704-0705

NPI assigned

Feb 23, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Inspira Behavioral Care Corp.

  • Adult Mental Health Clinic/Center
  • Caguas, PR
  • NPI 1982102216
  NPD (past)
• Inspira Mental Health Management

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Guayama, PR
  • NPI 1114388691
  NPD (past)

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

{
    "created_epoch": "1614038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1962096750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 7 BOX 5148",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "007959734",
            "telephone_number": "939-777-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CONSOLIDATED MALL ANEXO B5",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007260072",
            "telephone_number": "787-704-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "JESSICA",
        "middle_name": "M",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-23",
        "last_updated": "2021-02-23",
        "certification_date": "2021-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "15347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edgardo Gonzalez
• Emilo Rafael Gonzalez, M.D.
• Erika Gonzalez, PHL
• Jasseline I Gonzalez
• Jennifer Gonzalez
• Jesus Gonzalez, MD
• John M Gonzalez, DC
• Jorge Luis Gonzalez, M.D.
• Jose Abner Gonzalez, R.PH.
• Katiria Janet Gonzalez, PHARMD

• All providers in Caguas, PR
• Clinical Social Worker in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; 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.