MS. KAREN LARISSA GONZALEZ (NPI# 1568014066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568014066 |
| Entity Type | Individual |
| Full Name | MS. KAREN LARISSA GONZALEZ |
| Credential | LMSW |
| Practice Address |
421 Memorial Dr Pocatello ID 83201-4008 |
| Practice Telephone | 2082347900 |
| Mailing Telephone | 2082347900 |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2019-07-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | LMSW-36855 | ID | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235600495 | Karen Andrea Gonzalez | Speech-Language Pathologist | 1524 East Ave South, Sarasota, FL 34239 | 2018-12-16 |
| 1649712985 | Karen S Gonzalez | Assistant Behavior Analyst | 451 4th Ave S Apt 402, Kirkland, WA 98033-3611 | 2016-11-16 |
| 1821543083 | Karen M Gonzalez | Psychologist | 227 Calle E, Apt. 208, Trujillo Alto, PR 00976-2852 | 2016-08-17 |
| 1265705388 | Karen Elisabeth Gonzalez | Licensed Vocational Nurse | 12707 Point Sound, San Antonio, TX 78253-5269 | 2012-02-21 |
| 1457661050 | Karen Lynn Gonzalez | Registered Nurse | 3617 S. Pacific Highway, Medford, OR 97501 | 2010-10-15 |
| 1205806429 | Karen Santos Gonzalez | Family Medicine | 9077 S Pecos Rd Ste 3800, Henderson, NV 89074 | 2006-01-23 |
| 1245892439 | Karen Gonzalez | Behavior Technician | 12432 Bellflower Blvd, Downey, CA 90242-2806 | 2019-07-08 |
| 1497210348 | Karen Luna Gonzalez | Student in an Organized Health Care Education/Training Program | 2121 W Temple St, Los Angeles, CA 90026-4915 | 2019-02-05 |
| 1083136345 | Karen Mireya Gonzalez | Optometrist | 1008 Riverburch Pkwy, Dalton, GA 30721-8630 | 2017-07-08 |
| 1598206765 | Karen Gonzalez | Behavior Technician | 2909 Oregon Ct, A1, Torrance, CA 90503-2645 | 2017-03-20 |
| Street Address |
421 MEMORIAL DR |
| City | POCATELLO |
| State | ID |
| Zip Code | 83201-4008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912046525 | Linda E Carter | Psychiatry & Neurology | 421 Memorial Dr, Pocatello, ID 83201-4008 | 2007-02-06 |
| 1548756869 | Bailey Marie Rainey | Developmental Therapist | 421 Memorial Dr, Pocatello, ID 83201-4008 | 2018-07-10 |
| 1235624834 | Rebecca L Wood | Registered Nurse | 421 Memorial Dr, Pocatello, ID 83201-4008 | 2018-06-26 |
| 1144723123 | Danson S. Hall | Physical Therapist | 421 Memorial Dr, Pocatello, ID 83201-4008 | 2018-03-15 |
| 1942656020 | Kyle Hanson | Counselor | 421 Memorial Dr, Pocatello, ID 83201-4008 | 2016-05-09 |
| 1346602430 | William Eckersell | Counselor | 421 Memorial Dr, Pocatello, ID 83201-4008 | 2016-03-28 |
| 1588026553 | Richard Bloxham | Social Worker | 421 Memorial Dr, Pocatello, ID 83201-4008 | 2016-03-28 |
| 1053773952 | Michele Joann Osmond | Counselor | 421 Memorial Dr, Pocatello, ID 83201-4008 | 2016-03-22 |
| 1487016218 | Tonja Knapp | Registered Nurse | 421 Memorial Dr, Pocatello, ID 83201-4008 | 2016-03-22 |
| 1346602091 | Kelley Tillotson | Registered Nurse | 421 Memorial Dr, Pocatello, ID 83201-4008 | 2016-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235765330 | Timothy Palmer | Social Worker | 400 S 11th Ave, Ste 204, Pocatello, ID 83201 | 2020-03-20 |
| 1225687759 | Hanna Percy | Nurse Practitioner | 1151 Hospital Way Ste 201, Pocatello, ID 83201 | 2019-09-07 |
| 1659935195 | Carol Jane Dillon | Counselor | 707 North 7th Avenue, Suite D, Pocatello, ID 83201 | 2019-04-30 |
| 1154801595 | Mv Pocatello Ent, LLC | Otolaryngology | 333 N 18th Ave Ste B3, Pocatello, ID 83201 | 2018-08-15 |
| 1306344346 | Ruth Anne Patton | Social Worker | 850 E Young St, Pocatello, ID 83201 | 2018-01-24 |
| 1598289274 | Lucas Alexander Bryan | Specialist/Technologist | 1535 E Terry St, Pocatello, ID 83201 | 2017-08-03 |
| 1205365632 | Geno Alan Giovanini | Denturist | 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 | 2017-06-08 |
| 1518415942 | Kelli Fries-geslin | Nurse Practitioner | 500 South 11 Ave Suite 400, Pocatello, ID 83201 | 2016-09-14 |
| 1346797842 | Shailyn Jenkins | Specialist/Technologist | 665 Warren Ave., Pocatello, ID 83201 | 2016-09-01 |
| 1992258149 | Christopher Jared White | Social Worker | 300 N 7th Ave, Pocatello, ID 83201 | 2016-07-24 |
| Find all providers in zip 83201 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235765330 | Timothy Palmer | Social Worker | 400 S 11th Ave, Ste 204, Pocatello, ID 83201 | 2020-03-20 |
| 1932732906 | Teri Lee Wilske | Social Worker | 845 Barton Rd Trlr 35, Pocatello, ID 83204-1827 | 2020-02-19 |
| 1316448244 | Teresa Rae Walker | Social Worker | 151 N 3rd Ave Ste 110, Pocatello, ID 83201-6367 | 2018-02-26 |
| 1568974541 | Daniel Graham Rasmussen | Social Worker | 335 N. Main, Pocatello, ID 83204 | 2017-10-30 |
| 1982115671 | Lacey Jane Wuthrich | Social Worker | 1777 E Clark St Ste 330, Pocatello, ID 83201-3357 | 2017-10-20 |
| 1992258149 | Christopher Jared White | Social Worker | 300 N 7th Ave, Pocatello, ID 83201 | 2016-07-24 |
| 1437542891 | Holli Ludwig | Social Worker | 224 S Arthur Ave Ste 2, Pocatello, ID 83204-3202 | 2015-03-10 |
| 1649684119 | Yesenia Ruby Trejo | Social Worker | 118 E. Lander St., Pocatello, ID 83201 | 2014-06-12 |
| 1013257211 | Tania Kerr | Social Worker | 645 W Clark St, Pocatello, ID 83204-3141 | 2013-02-25 |
| 1720317589 | Natasha Jeanne Cutler | Social Worker | 1070 Hiline, Ste 335, Pocatello, ID 83201 | 2009-12-08 |
| Find all providers in POCATELLO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.