Individual provider · Type 1 NPI

Terri Lynn Gonsalves, MSW, LCSW

Clinical Social Worker · Clearlake, CA

NPI number 1619238656 Active

Practice location

6945 Old Highway 53
Clearlake, CA 95422-9381

Call (707) 995-9523 Map

Fax (707) 995-9059

Mailing address

PO Box 432
Middletown, CA 95461-0432

Other practice locations

  • 9980 Mill St., Lower Lake, CA 95457-8131 · (707) 533-9436

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Clinical Social Worker Primary 1041C0700X116238 (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 1619238656

Terri Lynn Gonsalves, MSW, LCSW's National Provider Identifier is 1619238656, issued on Jun 6, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Clearlake, CA. The record was last updated on Jul 13, 2025.