Leticia Gonzalez in Elizabeth - Clinical

Leticia Gonzalez - NPI 1336293463

Leticia Gonzalez is a Clinical in Elizabeth, New Jersey. Leticia Gonzalez practices all healthcare services and medical treatments related to Clinical. The NPI Number for Leticia Gonzalez is 1336293463. The last update date is 2010-11-04.

Leticia Gonzalez's current location address is 655 E Jersey St, Elizabeth, New Jersey. You can contact this provider via phone number 9089947223 and fax number 9089947354. The mailing address for Leticia Gonzalez is 655 E Jersey St, Elizabeth, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Leticia Gonzalez
Address 655 E Jersey St, Elizabeth, New Jersey
Phone Number 9089947223
Fax Number 9089947354
Sole Proprietor N
Credentials L.C.S.W.

NPI Number Detail

NPI Number 1336293463
Provider Enumeration Date 2007-01-23
Last Updated Date 2010-11-04

Provider Mailing Address Detail

Address 655 E Jersey St
City Elizabeth
State New Jersey (NJ)
Post Code 72061259
Phone Number 9089947223
Fax Number 9089947354

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 44SC05394300
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
21806 NJ --

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FAQs about Leticia Gonzalez

What is the unique 10-digit identifier code issued to Leticia Gonzalez by the Centers for Medicare & Medicaid Services?

The Leticia Gonzalez has been assigned the NPI (National Provider Identifier) 1336293463 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Leticia Gonzalez is physically located?

The Leticia Gonzalez is situated at the following address: 655 E Jersey St, Elizabeth, NJ 72061259.

What is the Leticia Gonzalez's area of specialization and corresponding taxonomy classification?

The Leticia Gonzalez's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services issue the 1336293463 to Leticia Gonzalez?

The Leticia Gonzalez received its 1336293463 assignment from the Centers for Medicare & Medicaid Services on 2007-01-23.

As of what date were the details pertaining to Leticia Gonzalez last refreshed?

The information related to the Leticia Gonzalez, including its address, specialty, and other relevant details, was last updated on 2010-11-04.

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