Individual
ELISE A GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4 SMITHFIELD RD APT 5, NORTH PROVIDENCE, RI 02904-5368
(401) 595-4755
Mailing address
4 SMITHFIELD RD APT 5, N PROVIDENCE, RI 02904-5368
(401) 595-4755
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
00785
RI
1041C0700X
Clinical Social Worker
Primary
ISW01889
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00785
CSW LICENCE
RI
01
—
ISW01889
LICSW
RI
Enumeration date
07/20/2007
Last updated
03/26/2026
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