GENEVIEVE MARILYN GONZALEZ (NPI# 1821340480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821340480 |
| Entity Type | Individual |
| Full Name | GENEVIEVE MARILYN GONZALEZ |
| Credential | LCSW, PPSC |
| Practice Address |
205 South St Fort Bragg CA 95437 |
| Mailing Address |
Po Box 2325 Fort Bragg CA 95437-2325 |
| Practice Telephone | 7079613492 |
| Mailing Telephone | 9098026135 |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2018-06-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
77553 | CA | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538794417 | Genevieve Gonzalez | Behavior Technician | 14345 Sw 11th Ter, Miami, FL 33184-3216 | 2020-03-11 |
| 1518002757 | Genevieve Gonzalez | Social Worker | 55 Fruit St, Wac-037, Boston, MA 02114-2621 | 2007-02-21 |
| Street Address |
205 SOUTH ST |
| City | FORT BRAGG |
| State | CA |
| Zip Code | 95437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508861782 | Wade Joseph Gray | Family Medicine | 205 South St, Fort Bragg, CA 95437-5540 | 2005-06-15 |
| 1477046027 | Roy Campbell | Dental Hygienist | 205 South St, Fort Bragg, CA 95437-5540 | 2018-06-08 |
| 1457861783 | Andrea Masters | Nurse Practitioner | 205 South St, Fort Bragg, CA 95437-5540 | 2017-09-29 |
| 1437501566 | Jae Do Kim | Dentist | 205 South St, Fort Bragg, CA 95437-5540 | 2016-07-13 |
| 1558790774 | Nadege Nerette | Physician Assistant | 205 South St, Fort Bragg, CA 95437-5540 | 2013-11-07 |
| 1932532272 | Svetlana Romanovna Mulcahy | Nurse Practitioner | 205 South St, Fort Bragg, CA 95437-5540 | 2013-08-09 |
| 1013257831 | Kimberly Jill Celeri | Dental Hygienist | 205 South St, Fort Bragg, CA 95437-5540 | 2013-02-15 |
| 1447500988 | Ted Michael Aames | Counselor | 205 South St, Fort Bragg, CA 95437-5540 | 2012-09-12 |
| 1740587229 | Wendy J Carvajal | Dentist | 205 South St, Fort Bragg, CA 95437-5540 | 2011-02-18 |
| 1073841540 | Lynne Barbara Bornheim | Social Worker | 205 South St, Fort Bragg, CA 95437 | 2009-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902357437 | Mendocino Coast Hospitality Center | Community/Behavioral Health | 137 E. Oak Street, Fort Bragg, CA 95437 | 2016-10-19 |
| 1144604570 | Erin Paul | Community Health Worker | 474 South Franklin Street, Fort Bragg, CA 95437 | 2015-07-15 |
| 1508125790 | Joel Macgregor Green | Marriage & Family Therapist | 331- G Redwood Ave., Fort Bragg, CA 95437 | 2012-05-09 |
| 1013244102 | Jenna Glasscock | Counselor | 331 E Redwood Ave, Ste E, Fort Bragg, CA 95437 | 2009-11-10 |
| 1770819641 | Patrick Lenaghan | Emergency Medicine | 707 River Dr, Fort Bragg, CA 95437 | 2009-10-27 |
| 1043455827 | M. Lee Baker | Dentist | 890 River Dr, Fort Bragg, CA 95437 | 2008-12-09 |
| 1528250495 | Christine Anne Samas | Social Worker | 656a Harrison St., Fort Bragg, CA 95437 | 2007-08-15 |
| 1083822811 | Katharine L. White | Marriage & Family Therapist | 137 E Oak Street, Fort Bragg, CA 95437 | 2007-05-17 |
| 1053525873 | Marty Christine Johnson | Marriage & Family Therapist | 331 E. Redwood Ave, Fort Bragg, CA 95437 | 2007-05-10 |
| 1528114741 | Kate Teresa Donohue | Psychologist | 19201 Noyo Acres Dr, Fort Bragg, CA 95437 | 2007-01-29 |
| Find all providers in zip 95437 | ||||
| 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 |
|---|---|---|---|---|
| 1821650037 | Tammy M Baca | Social Worker | Womack Army Hospital 2817 Reilly Rd, Fort Bragg, NC 28310-0001 | 2019-07-08 |
| 1285056432 | Tracy-ann Ruglass | Social Worker | 2817 Reilly St Bldg 4-3219, Fort Bragg, NC 28310-4501 | 2014-01-07 |
| 1538329875 | Michelle Simone Myers | Social Worker | # 2817, Fort Bragg, NC 28310-0001 | 2008-06-10 |
| 1528250495 | Christine Anne Samas | Social Worker | 656a Harrison St., Fort Bragg, CA 95437 | 2007-08-15 |
| 1295852242 | Giovanna Pagano | Social Worker | 327 E Redwood Ave Ste D, Fort Bragg, CA 95437-3550 | 2007-03-23 |
| 1518013481 | Randy Celina Mendoza | Social Worker | 32670 Highway 20 Unit 2, Fort Bragg, CA 95437-5708 | 2007-01-25 |
| 1245393362 | Thomas Alan Jarrett | Social Worker | 2817 Reilly Road Mcxs-cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310-0001 | 2006-12-19 |
| 1851454201 | Vanessa Mcmillian White | Social Worker | Bravo Company Womack Army Medical Ctr, Fort Bragg, NC 28310-0001 | 2006-12-18 |
| 1164582268 | Roslyn S Satten | Social Worker | 331 A Redwood Ave, Fort Bragg, CA 95437 | 2006-12-11 |
| 1649359001 | Cynthia Lynn Wall | Social Worker | 30077 Simpson Ln, Fort Bragg, CA 95437-7759 | 2006-11-03 |
| Find all providers in FORT BRAGG | ||||
| City | FORT BRAGG |
| Zip Code | 95437 |
Please comment or provide details below to improve the information on GENEVIEVE MARILYN GONZALEZ.
| 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.