Individual provider · Type 1 NPI

Lisanyis Massiel Gonzalez

Clinical Social Worker · Providence, RI

NPI number 1609734045 Active

Practice location

55 Hope St
Providence, RI 02906-2001

Call (401) 331-1350 Map

Fax (401) 277-3385

Mailing address

486 Friendship St
Providence, RI 02907-1118

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCSW04143 (RI)

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 1609734045

Lisanyis Massiel Gonzalez's National Provider Identifier is 1609734045, issued on Jan 14, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Providence, RI. The record was last updated on Jan 14, 2026.