Individual
CHERIE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
28 DEBEVOISE ST STE 5, BROOKLYN, NY 11206
(718) 963-4430
Mailing address
1841 BRENTWOOD RD, BRENTWOOD, NY 11717-4625
(631) 853-7300
(631) 853-7301
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
103764
NY
1041C0700X
Clinical Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11-3449823
—
NY
Enumeration date
01/05/2017
Last updated
09/27/2019
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