Individual provider · Type 1 NPI

Fawn Gonzales, LCSW LLC

Clinical Social Worker · Newport Beach, CA

NPI number 1295923787 Active

Practice location

2436 W Coast Hwy Ste 103
Newport Beach, CA 92663-4771

Call (541) 944-7711 Map

Mailing address

1820 W Balboa Blvd
Newport Beach, CA 92663-4515

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XL5212 (OR)
Clinical Social Worker Primary 1041C0700XNone listed

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 1295923787

Fawn Gonzales, LCSW LLC's National Provider Identifier is 1295923787, issued on Oct 9, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Newport Beach, CA. The record was last updated on Dec 4, 2015.