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1255887691 NPI number — FRANCESCA R GONNELLA LCSW

NPI Number: 1255887691
Health Care Provider/Practitioner: FRANCESCA R GONNELLA LCSW

Information about “1255887691” NPI (FRANCESCA R GONNELLA LCSW) exists in 1255887691 in HTML format HTML  |  1255887691 in plain Text format TXT  |  1255887691 in PDF (Portable Document Format) PDF  |  1255887691 in an XML format XML  formats.

NPI Number : 1255887691 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1255887691",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GONNELLA",
    "FirstName": "FRANCESCA",
    "MiddleName": "R",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BLAKLEY",
    "OtherFirstName": "FRANCESCA",
    "OtherMiddleName": "R",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "2235 MERCURY WAY STE 145",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SANTA ROSA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "95407-5472",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "707-535-7153",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2235 MERCURY WAY STE 145",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SANTA ROSA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "95407-5472",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "707-535-7153",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/26/2016",
    "LastUpdateDate": "07/18/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1041C0700X",
        "TaxonomyName": "Clinical Social Worker",
        "LicenseNumber": "LCSW121721",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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