Ms Alyssa Nicole Gonzales, LCSW, SSW is a
Social Worker - Clinical based in Rio Rancho, New Mexico. Ms Alyssa Nicole Gonzales is licensed to practice in New Mexico (license number SWB-2023-0015) and her current practice location is
1500 Veranda Rd Se, Rio Rancho, New Mexico. She can be reached at her office (for appointments etc.) via phone at
(055) 730-6522.
NPI number for Ms Alyssa Nicole Gonzales is 1306359369 and her current mailing address is 1500 Veranda Rd Se, Rio Rancho, New Mexico. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306359369.
Healthcare Provider's Profile
| Full Name | Ms Alyssa Nicole Gonzales |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 1500 Veranda Rd Se, Rio Rancho, New Mexico |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1306359369
- Provider Enumeration Date: 11/13/2017
- Last Update Date: 01/17/2023
Medical Identifiers
Medical identifiers for Ms Alyssa Nicole Gonzales such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306359369 | NPI | - | NPPES |
| 500735164 | Medicaid | OR | |
| 1306359369 | Medicaid | NM | |
| 500740393 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | T-18-085 (Oregon) | Secondary |
| 104100000X | Social Worker | M7536 (Oregon) | Secondary |
| 1041S0200X | Social Worker - School | M-10102 (New Mexico) | Secondary |
| 1041C0700X | Social Worker - Clinical | SWB-2023-0015 (New Mexico) | 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. Ms Alyssa Nicole 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 |
|---|
Ms Alyssa Nicole Gonzales, LCSW, SSW
1500 Veranda Rd Se,
Rio Rancho, NM 87124-3897
Ph: (505) 730-6522 | Ms Alyssa Nicole Gonzales, LCSW, SSW
1500 Veranda Rd Se,
Rio Rancho, NM 87124-3897
Ph: (055) 730-6522 |
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