Michael Gonzales, LCSW, LCADC is a
Social Worker - Clinical based in Freehold, New Jersey. Michael Gonzales is licensed to practice in New Jersey (license number 44SC06095300) and his current practice location is
65 South St Fl 2, Freehold, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(732) 546-2453.
NPI number for Michael Gonzales is 1639645195 and his current mailing address is 31 Deer Trail Dr, Millstone Township, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1639645195.
Healthcare Provider's Profile
| Full Name | Michael Gonzales |
|---|
| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 65 South St Fl 2, Freehold, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1639645195
- Provider Enumeration Date: 10/22/2018
- Last Update Date: 11/10/2022
Medical Identifiers
Medical identifiers for Michael Gonzales such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639645195 | NPI | - | NPPES |
| 37LC00285800 | Other | NJ | LCADC |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 37LC00285800 (New Jersey) | Secondary |
| 1041C0700X | Social Worker - Clinical | 44SC06095300 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michael Gonzales is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Michael Gonzales, LCSW, LCADC
31 Deer Trail Dr,
Millstone Township, NJ 08510-1509
Ph: (732) 546-2453 | Michael Gonzales, LCSW, LCADC
65 South St Fl 2,
Freehold, NJ 07728-2348
Ph: (732) 546-2453 |
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