Individual provider Active NPI

Nicole Gonzales, LCSW

  • Clinical Social Worker
  • Ville Platte, LA
National Provider Identifier
1992133821
Registry record updated Nov 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5767 Issued in LA
Practice address
312 Court St
Ville Platte, LA 70586-5248
Phone
(337) 363-5525
NPI assigned
Nov 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2013

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 5767 LA Primary

Addresses

Primary practice location

312 Court St
Ville Platte, LA 70586-5248

Mailing address

312 Court St
Ville Platte, LA 70586-5248
Phone (337) 363-5525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140429001873 LA Practitioner - Clinical Social Worker 0446483317 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

220 S Market St
Opelousas, LA 70570-5140
Phone (337) 948-0226

302 Dulles Dr
Lafayette, LA 70506-3008
Phone (337) 262-4109

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5767LAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Acadiana Area Human Services District CurrentSince Apr 12, 2014 Accepting new patients
Acadiana Area Human Services District CurrentSince Apr 12, 2014 Accepting new patients

Locations

302 Dulles Dr
Lafayette, LA 70506
Phone (337) 262-4100

220 S Market St
Opelousas, LA 70570
Phone (337) 948-0226

312 Court St
Ville Platte, LA 70586
Phone (337) 262-1329

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/aahsd/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383264000000",
    "number": "1992133821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 COURT ST",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705865248",
            "telephone_number": "337-363-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 COURT ST",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705865248",
            "telephone_number": "337-363-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-01",
        "last_updated": "2013-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "5767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ville Platte, LA

Sources for this page

Verify at the official NPI Registry.