Individual provider · Type 1 NPI

Mayra Gonzalez, LCSW

Clinical Social Worker · Petaluma, CA

NPI number 1083292718 Active

Practice location

1179 N Mcdowell Blvd
Petaluma, CA 94954-6559

Fax (707) 559-7620

Other practice locations

  • 5900 State Farm Dr Ste 200, Rohnert Park, CA 94928-2149 · (707) 559-7600

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X92458 (CA)
Clinical Social Worker Primary 1041C0700X108214 (CA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1083292718

Mayra Gonzalez, LCSW's National Provider Identifier is 1083292718, issued on Apr 1, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Petaluma, CA. The record was last updated on Oct 19, 2022.