MR. RAUL GONZALEZ JR. (NPI# 1790107456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790107456 |
| Entity Type | Individual |
| Full Name | MR. RAUL GONZALEZ JR. |
| Credential | LCSW |
| Practice Address |
1680 E 120th St Los Angeles CA 90059-3026 |
| Mailing Address |
Po Box 565 Whittier CA 90608-0565 |
| Practice Telephone | 4243388000 |
| Mailing Telephone | 6262720394 |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2020-08-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
85817 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487199055 | Raul Gonzalez | Behavior Technician | 1534 W 77th St, Hialeah, FL 33014-3317 | 2017-01-05 |
| 1194021436 | Raul Alberto Gonzalez | Massage Therapist | 14600 Sw 87th Ct, Palmetto Bay, FL 33176-8018 | 2011-02-03 |
| 1568621563 | Raul Sergio Gonzalez | Pathology | 601 Elmwood Ave # 626, Room G-5264a, Rochester, NY 14642-0001 | 2008-06-04 |
| 1407036601 | Raul C Gonzalez | Dentist | 1760 Coral Way, Coral Gables, FL 33145-2729 | 2007-11-06 |
| 1679618458 | Raul A Gonzalez | Physician Assistant | 446 Sw 191st Ter, Pembroke Pines, FL 33029-5463 | 2007-02-20 |
| 1821651670 | Raul Gonzalez | Technician, Other | 13428 Maxella Ave Ste 913, Marina Del Rey, CA 90292-5620 | 2019-04-17 |
| 1710328323 | Raul K Gonzalez | Counselor | 1485 S M-139, Benton Harbor, MI 49022 | 2013-07-11 |
| 1871642058 | Raul Gonzalez | Social Worker | 1933 S Broadway, Los Angeles, CA 90007-4501 | 2007-01-09 |
| 1366503773 | Raul Alberto Gonzalez | Internal Medicine | 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 | 2006-12-12 |
| 1356417596 | Raul Gonzalez | Clinical Neuropsychologist | 11200 Sw 8th St, Ahc4 - 461, Miami, FL 33199-2516 | 2006-11-28 |
| Street Address |
1680 E 120TH ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90059-3026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548453814 | Tzu-jen Tzao | Emergency Medicine | 1680 E 120th St, Los Angeles, CA 90059-3026 | 2007-08-21 |
| 1518577238 | Jarvis Jimenez | Social Worker | 1680 E 120th St, Los Angeles, CA 90059-3026 | 2020-08-06 |
| 1972132892 | Veronica Ulanday Velasquez | Physical Therapist | 1680 E 120th St, Los Angeles, CA 90059-3026 | 2020-04-02 |
| 1720618010 | Jonathan Andrew Robinson | Registered Nurse | 1680 E 120th St, Los Angeles, CA 90059-3026 | 2020-01-25 |
| 1770123663 | Ma Glenda Jatulan Ravas | Nurse Practitioner | 1680 E 120th St, Los Angeles, CA 90059-3026 | 2020-01-09 |
| 1649819228 | Meaza Sefineh | Nurse Practitioner | 1680 E 120th St, Los Angeles, CA 90059-3026 | 2019-12-31 |
| 1629621826 | Munazza Hakim | Pharmacy | 1680 E 120th St, Los Angeles, CA 90059-3026 | 2019-07-17 |
| 1215590518 | Briauna Linton | Nurse Practitioner | 1680 E 120th St, Los Angeles, CA 90059-3026 | 2019-04-22 |
| 1073091013 | Priscilla Joann Madison | Nurse Practitioner | 1680 E 120th St, Los Angeles, CA 90059-3026 | 2018-08-01 |
| 1336634690 | Zeus Fernandez | Student in an Organized Health Care Education/Training Program | 1680 E 120th St, Los Angeles, CA 90059-3026 | 2018-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235759788 | Juan Jimenez Jr. | Technician, Pathology | 1860 E 120th St, Los Angeles, CA 90059 | 2020-04-24 |
| 1538717780 | Donald O Nwanze | Pharmacist | Mlk Outpatient Center (pharmacy), 1670 East 120th Street, Los Angeles, CA 90059 | 2019-08-30 |
| 1295391050 | Sheela Hoyle | Counselor | 836 East Saucer Lane, Los Angeles, CA 90059 | 2019-05-16 |
| 1750852471 | Carlos Tovar Sr. | Community Health Worker | 1720 E 120st, Los Angeles, CA 90059 | 2018-12-06 |
| 1699293910 | Amy Caryn Bolenbaugh | Recreation Therapist | 1720 E 120th Street, Los Angeles, CA 90059 | 2017-09-07 |
| 1417475757 | Scott Lee Jones | Recreation Therapist | Augustus F. Hawkins, 1720 E. 120th Street, Rm. 2196, Los Angeles, CA 90059 | 2017-09-07 |
| 1881118859 | Darlene Renee Tillman | Speech-Language Pathologist | 1670 E 120th Strret, Los Angeles, CA 90059 | 2017-08-01 |
| 1609306430 | Valda Therese Flores | Registered Nurse | 1670 E. 120th Street, Los Angeles, CA 90059 | 2017-06-14 |
| 1093244006 | Bongsill Chung | Registered Nurse | 1670 East 120th St, Los Angeles, CA 90059 | 2017-06-05 |
| 1730573395 | Apollonia Godoy | Registered Nurse | 1670 E. 120th St, 4th Floor, Module A, Los Angeles, CA 90059 | 2015-03-22 |
| Find all providers in zip 90059 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841899549 | Callie Lind Klebanoff | Social Worker | 3162 Glenmanor Pl, Los Angeles, CA 90039-1713 | 2020-10-22 |
| 1215534060 | Arianna Armstrong | Social Worker | 1417 Wildwood Dr, Los Angeles, CA 90041-3130 | 2020-10-05 |
| 1518572932 | Jamila Leander | Social Worker | 1055 Wilshire Blvd Ste 1955, Los Angeles, CA 90017-5602 | 2020-09-11 |
| 1700491529 | Danesha Jamerson | Social Worker | 4184 3rd Ave, Los Angeles, CA 90008-4043 | 2020-09-09 |
| 1427663384 | Samantha Erin Stepleton | Social Worker | 3201 S Barrington Ave Apt E, Los Angeles, CA 90066-1139 | 2020-09-08 |
| 1821601345 | Kei Nguyen | Social Worker | 3035 Ingledale Ter, Los Angeles, CA 90039-1719 | 2020-08-25 |
| 1659984292 | Bina Zargari | Social Worker | 1129 S Holt Ave, Los Angeles, CA 90035-2405 | 2020-08-24 |
| 1275144685 | Jessica Lindsay Sotelo | Social Worker | 1530 N Poinsettia Pl Apt 241, Los Angeles, CA 90046-7915 | 2020-08-11 |
| 1982212155 | Alexandra Gubin | Social Worker | Ucla, 757 Westwood Medical Plaza, Los Angeles, CA 90095 | 2020-07-14 |
| 1811513187 | Rafael C. Angulo | Social Worker | 315 S Virgil Ave Apt 103, Los Angeles, CA 90020-1300 | 2020-06-22 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90059 |
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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.