Healthcare Provider Details

I. General information

NPI: 1316638711
Provider Name (Legal Business Name): MORGAN GONZALEZ LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/17/2023
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 DAVIDSON AVE STE 306
SOMERSET NJ
08873-4144
US

IV. Provider business mailing address

339 FAIRVIEW AVE APT 2
WESTWOOD NJ
07675-1704
US

V. Phone/Fax

Practice location:
  • Phone: 732-997-0707
  • Fax:
Mailing address:
  • Phone: 732-336-1304
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC06597500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: