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NPI Code Detail

MEDICARE: XIOMARA COLON GONZALEZ LCSW

MEDICARE: XIOMARA COLON GONZALEZ LCSW
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 Worker12548-CNV

General Provider Information

NPI Number : 1366306250
Entity Type Code : Individual
Provider Name (Legal Business Name) : XIOMARA COLON GONZALEZ LCSW
Provider Business Mailing Address
First Line : 975 KIRMAN AVE
Second Line :
City : RENO
State : NV
Zip : 89502-0993
Country : US
Telephone Number : 775-324-6600
Fax Number :
Provider Business Practice Location Address
First Line : 975 KIRMAN AVE
Second Line :
City : RENO
State : NV
Zip : 89502-0993
Country : US
Telephone Number : 775-324-6600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2025
Last Update Date : 12/15/2025

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