Provider Type Icon

FAWN GONZALES LCSW LLC NPI 1417322231


NPI Information

NPI: 1417322231
Provider Name: FAWN GONZALES LCSW LLC
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
14 COTTAGE ST
MEDFORD, OR
ZIP 97504
Phone: (541) 944-7711
Get Directions

FAWN GONZALES LCSW LLC is a clinical social worker in Medford, OR. The provider is 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. FAWN GONZALES LCSW LLC NPI is 1417322231. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14 COTTAGE ST
MEDFORD, OR
ZIP 97504-332
Phone: (541) 944-7711

The provider's authorized official is Fawn Gonzales .
The authorized official title is Owner and has the following contact phone number (541) 944-7711.

The enumeration date for this NPI number is 12/4/2015 and was last updated on 12/4/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinical5212OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.