Individual provider · Type 1 NPI
Modesto Gonzalez, ACSW
Clinical Social Worker · Encino, CA
Practice location
15720 Ventura Blvd Ste 520
Encino, CA 91436-4723
Mailing address
15720 Ventura Blvd
Encino, CA 91436-2914
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 80776 (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 1558072926
Modesto Gonzalez, ACSW's National Provider Identifier is 1558072926, issued on Dec 7, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Encino, CA. The record was last updated on Mar 18, 2026.