Individual provider Active NPI

Lynn Gonzalez, LCSW

  • Clinical Social Worker
  • West Covina, CA
National Provider Identifier
1982325742
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
29608 Issued in CA
Practice address
150 N Grand Ave Ste 212
West Covina, CA 91791-1757
Phone
(626) 267-2579
NPI assigned
Sep 8, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 29608 CA Primary

Addresses

Primary practice location

150 N Grand Ave Ste 212
West Covina, CA 91791-1757

Mailing address

170 E College St Unit 204
Covina, CA 91723-7008

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

LicenseStateTypeSpecialty
29608CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
A Whole New You, LLC CurrentSince Sep 1, 2022 Accepting new patients
A Whole New You, Licensed Clinical Social Worker, Inc Clinical CurrentSince Sep 1, 2022 Accepting new patients
Zion 3 Clinical Current Accepting new patients

Locations

170 E College St
Unit 204
Covina, CA 91723

150 N Grand Ave
Ste 212
West Covina, CA 91791
Phone (626) 267-2579

Organizations & group practices 3

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": "1662595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1982325742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 E COLLEGE ST UNIT 204",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917237008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N GRAND AVE STE 212",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917911757",
            "telephone_number": "626-267-2579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-08",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "29608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.