Individual provider · Type 1 NPI

Jose Domingo Gonzalez, LSW

Clinical Social Worker · Youngstown, OH

NPI number 1710697321 Active

Practice location

725 Boardman Canfield Rd Ste C4
Youngstown, OH 44512-4367

Call (855) 292-9778 Map

Fax (855) 292-9778

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XS.2411071 (OH)
Peer Specialist 175T00000XAPS.003735 (OH)
Addiction (Substance Use Disorder) Counselor 101YA0400XCDCA.182780 (OH)

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 1710697321

Jose Domingo Gonzalez, LSW's National Provider Identifier is 1710697321, issued on Dec 5, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Youngstown, OH. The record was last updated on Jun 17, 2025.