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NPI Code Detail

MEDICARE: DANA MICHELLE GONZALEZ MSW

MEDICARE: DANA MICHELLE GONZALEZ MSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1063038172
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANA MICHELLE GONZALEZ MSW
Provider Business Mailing Address
First Line : 1836 NW 94TH AVE
Second Line :
City : PLANTATION
State : FL
Zip : 33322-5625
Country : US
Telephone Number : 954-588-3696
Fax Number :
Provider Business Practice Location Address
First Line : 28 LORD RD STE 215
Second Line :
City : MARLBOROUGH
State : MA
Zip : 01752-4549
Country : US
Telephone Number : 781-666-2711
Fax Number : 781-666-2712
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2020
Last Update Date : 02/12/2026

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