Ms Terri Lynn Gonsalves, MSW, ASW is a
Social Worker - Clinical based in Clearlake, California. Ms Terri Lynn Gonsalves is licensed to practice in California (license number 116238) and her current practice location is
6945 Old Highway 53, Clearlake, California. She can be reached at her office (for appointments etc.) via phone at
(707) 995-9523.
NPI number for Ms Terri Lynn Gonsalves is 1619238656 and her current mailing address is Po Box 432, Middletown, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619238656.
Healthcare Provider's Profile
| Full Name | Ms Terri Lynn Gonsalves |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 6945 Old Highway 53, Clearlake, 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: 1619238656
- Provider Enumeration Date: 06/06/2012
- Last Update Date: 10/24/2023
Medical Identifiers
Medical identifiers for Ms Terri Lynn Gonsalves such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619238656 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 116238 (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. Ms Terri Lynn Gonsalves 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 Terri Lynn Gonsalves, MSW, ASW
Po Box 432,
Middletown, CA 95461-0432
Ph: (707) 888-3487 | Ms Terri Lynn Gonsalves, MSW, ASW
6945 Old Highway 53,
Clearlake, CA 95422-9381
Ph: (707) 995-9523 |
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