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NPI Code Detail

MEDICARE: LINDY MICHELLE GONZALES LMSW

MEDICARE:   LINDY MICHELLE GONZALES  LMSW
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
1104100000XSocial Worker38532TX

General Provider Information

NPI Number : 1285576009
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDY MICHELLE GONZALES LMSW
Provider Business Mailing Address
First Line : 4812 HARLAN AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76132-1510
Country : US
Telephone Number : 682-231-3933
Fax Number :
Provider Business Practice Location Address
First Line : 5150 TRAIL LAKE DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76133-2030
Country : US
Telephone Number : 682-231-3933
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2026
Last Update Date : 04/09/2026

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Directions to “ LINDY MICHELLE GONZALES LMSW” Practice Location

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