Mr Benjamin O Gonzalez, MSW, ACSW, LSWAIC is a
Social Worker - Clinical based in Puyallup, Washington. Mr Benjamin O Gonzalez is licensed to practice in Washington (license number SC61567484) and his current practice location is
325 E Pioneer, Puyallup, Washington. He can be reached at his office (for appointments etc.) via phone at
(888) 910-6300.
NPI number for Mr Benjamin O Gonzalez is 1336234038 and his current mailing address is 325 E Pioneer, Puyallup, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1336234038.
Healthcare Provider's Profile
| Full Name | Mr Benjamin O Gonzalez |
|---|
| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 325 E Pioneer, Puyallup, Washington |
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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: 1336234038
- Provider Enumeration Date: 10/04/2006
- Last Update Date: 09/03/2024
Medical Identifiers
Medical identifiers for Mr Benjamin O Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336234038 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 124625 (California) | Secondary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | SC61567484 (Washington) | 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. Mr Benjamin O Gonzalez 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 |
|---|
Mr Benjamin O Gonzalez, MSW, ACSW, LSWAIC
325 E Pioneer,
Puyallup, WA 98372-3265
Ph: () - | Mr Benjamin O Gonzalez, MSW, ACSW, LSWAIC
325 E Pioneer,
Puyallup, WA 98372-3265
Ph: (888) 910-6300 |
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