Mrs Katrina Marie Gonzalez, is a
Social Worker - Clinical based in Barstow, California. Mrs Katrina Marie Gonzalez is licensed to practice in California (license number LCSW118420) and her current practice location is
222 E Main St Ste 117, Barstow, California. She can be reached at her office (for appointments etc.) via phone at
(760) 255-1496.
NPI number for Mrs Katrina Marie Gonzalez is 1629583562 and her current mailing address is 222 E Main St Ste 117, Barstow, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629583562.
Healthcare Provider's Profile
| Full Name | Mrs Katrina Marie Gonzalez |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 222 E Main St Ste 117, Barstow, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1629583562
- Provider Enumeration Date: 12/13/2017
- Last Update Date: 11/10/2023
Medical Identifiers
Medical identifiers for Mrs Katrina Marie Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629583562 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 97776 (California) | Secondary |
| 104100000X | Social Worker | 97776 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW118420 (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. Mrs Katrina Marie 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 |
|---|
Mrs Katrina Marie Gonzalez,
222 E Main St Ste 117,
Barstow, CA 92311-2361
Ph: (760) 255-1496 | Mrs Katrina Marie Gonzalez,
222 E Main St Ste 117,
Barstow, CA 92311-2361
Ph: (760) 255-1496 |
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