Individual provider Active NPI

Jenifer Lynn Gonzalez, MSW, LCSW, LCAS, CCS

  • Clinical Social Worker
  • New Bern, NC
National Provider Identifier
1962994152
Registry record updated Sep 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C012247 Issued in NC
Practice address
606 Pinetree Dr
New Bern, NC 28562-4430
Phone
(252) 288-4045
Fax
(252) 351-0335
NPI assigned
Jun 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 23440 NC
Clinical Social Worker 1041C0700X P011430 NC
Clinical Social Worker 1041C0700X C012247 NC Primary

Addresses

Primary practice location

606 Pinetree Dr
New Bern, NC 28562-4430

Mailing address

606 Pinetree Dr
New Bern, NC 28562-4430
Phone (252) 288-4045

Other names 1

  • Jenifer Lynn Karaffa Former name

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
23440NCMDAddiction (Substance Use Disorder) Counselor
C012247NCMDClinical Social Worker
P011430NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
One Therapy and Consulting, P.a. CurrentSince Feb 6, 2022 Accepting new patients

Locations

606 Pinetree Dr
New Bern, NC 28562
Phone (252) 288-4045

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725667200000",
    "number": "1962994152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 PINETREE DR",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285624430",
            "telephone_number": "252-288-4045",
            "fax_number": "252-351-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 PINETREE DR",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285624430",
            "telephone_number": "252-288-4045",
            "fax_number": "252-351-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "JENIFER",
        "middle_name": "LYNN",
        "credential": "MSW, LCSW, LCAS, CCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-04",
        "last_updated": "2024-09-07",
        "certification_date": "2024-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "23440",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P011430",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C012247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENIFER",
            "last_name": "KARAFFA",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Bern, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2024; 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.