Jessica Gonzales, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0009925104 Issued in CO

Practice address

19590 E Mainstreet Ste 100-5
Parker, CO 80138-7302

Phone

(720) 740-3510

NPI assigned

Oct 16, 2023

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1992587091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10139 LODESTONE WAY",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801349532",
            "telephone_number": "717-419-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19590 E MAINSTREET STE 100-5",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801387302",
            "telephone_number": "720-740-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "JESSICA",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-16",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "0009925104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Golden Ages Assisted Living
• Golden Ages Assisted Living at Grouseberry
• Karla Daniela Gomez Garcia, ASSISTANT ANALYST
• Macy Elizabeth Gomez, OTR/L
• Ruby Gomez
• Isaac Gonzalez
• Melodie Gonzalez
• Good Counsel Therapy LLC
• Good Isight Optometry and Vision Therapy
• Kalynn Good, OD

• Clinical Social Worker in Parker, CO
• Providers in Parker, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.