Healthcare Provider Details

I. General information

NPI: 1528981248
Provider Name (Legal Business Name): DANIELA GONZALEZ LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2244 JACKSON AVE
LONG ISLAND CITY NY
11101-9400
US

IV. Provider business mailing address

2244 JACKSON AVE
LONG ISLAND CITY NY
11101-9400
US

V. Phone/Fax

Practice location:
  • Phone: 347-542-9298
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number131701
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: