Michael R Gonzales, is a
Social Worker based in Fresno, California. Michael R Gonzales is licensed to practice in California (license number 117647) and his current practice location is
2560 W Shaw Ln Ste 104, Fresno, California. He can be reached at his office (for appointments etc.) via phone at
(559) 443-4800.
NPI number for Michael R Gonzales is 1467980367 and his current mailing address is 2560 W Shaw Ln Ste 104, Fresno, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1467980367.
Healthcare Provider's Profile
| Full Name | Michael R Gonzales |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker |
|---|
| Location | 2560 W Shaw Ln Ste 104, Fresno, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1467980367
- Provider Enumeration Date: 05/23/2017
- Last Update Date: 09/15/2023
Medical Identifiers
Medical identifiers for Michael R Gonzales such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467980367 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | 86192 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 86192 (California) | Secondary |
| 104100000X | Social Worker | 117647 (California) | 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 R 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 R Gonzales,
2560 W Shaw Ln Ste 104,
Fresno, CA 93711-2777
Ph: (559) 443-4820 | Michael R Gonzales,
2560 W Shaw Ln Ste 104,
Fresno, CA 93711-2777
Ph: (559) 443-4800 |
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