Individual provider · Type 1 NPI

Christopher Medina Gonzales Jr., ASW

Clinical Social Worker · San Jose, CA

NPI number 1306194196 Active

Practice location

1340 Tully Rd
San Jose, CA 95122-3055

Other practice locations

  • 160 E Virginia St, Suite 280, San Jose, CA 95112-5857 · (408) 287-6200

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X951 (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 1306194196

Christopher Medina Gonzales Jr., ASW's National Provider Identifier is 1306194196, issued on Aug 27, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Jose, CA. The record was last updated on Feb 12, 2024.