Provider / Organization | NPI | Date Certified |
---|---|---|
LISA ANN GONZALEZ | 1992389688 | 2024-03-07 |
Lisa Ann Gonzalez is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1992389688. Registration indicates Lisa Ann Gonzalez is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker, Behavioral Health & Social Service Providers)
Entity Type | Individual |
Provider Name | Lisa Ann Gonzalez LMSW |
Practice Office Address | 1475 PARK AVE NEW YORK, NY US |
Practice Office Telephone | 2124263400 |
Mailing Address | 1475 PARK AVE NEW YORK, NY 100293810 US |
Business Telephone | 2124263400 |
Code | Practice | License No State |
---|---|---|
104100000X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker Behavioral Health/Substance Abuse/Psychiatry Social Worker Behavioral Health & Social Service Providers | 115792
NY |
193400000X SING | Group Code |
NA | OTHER | NA |