Fawn Gonzales is a Clinical in Newport Beach, California. Fawn Gonzales practices all healthcare services and medical treatments related to Clinical. The NPI Number for Fawn Gonzales is 1295923787. The last update date is 2015-12-04.
Fawn Gonzales's current location address is 2436 W Coast Hwy Ste 103, Newport Beach, California. You can contact this provider via phone number 5419447711. The mailing address for Fawn Gonzales is 2436 W Coast Hwy Ste 103, Newport Beach, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Fawn Gonzales |
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Address | 2436 W Coast Hwy Ste 103, Newport Beach, California |
Phone Number | 5419447711 |
Fax Number | |
Sole Proprietor | Y |
Credentials | LCSW LLC |
NPI Number Detail
NPI Number | 1295923787 |
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Provider Enumeration Date | 2007-10-09 |
Last Updated Date | 2015-12-04 |
Provider Mailing Address Detail
Address | 2436 W Coast Hwy Ste 103 |
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City | Newport Beach |
State | California (CA) |
Post Code | 926634771 |
Phone Number | 5419447711 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | L5212 |
Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique 10-digit identifier code assigned to Fawn Gonzales by the Centers for Medicare & Medicaid Services?
The Fawn Gonzales has been issued the NPI (National Provider Identifier) 1295923787 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Fawn Gonzales located?
The Fawn Gonzales is located at 2436 W Coast Hwy Ste 103, Newport Beach, CA 926634771.
What is Fawn Gonzales's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Fawn Gonzales is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1295923787 to Fawn Gonzales?
The Fawn Gonzales received its 1295923787 assignment from the Centers for Medicare & Medicaid Services on 2007-10-09.
As of what date were the details related to Fawn Gonzales most recently updated or revised?
The information pertaining to Fawn Gonzales, including its address, specialty, and other relevant details, was last updated or revised on 2015-12-04.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA