MEDICARE: MICHELE A GONZALEZ

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
1	104100000X	Social Worker	LSW315071	MA

General Provider Information

NPI Number	:	1417810581
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELE A GONZALEZ

Provider Business Mailing Address
First Line	:	150 FEARING ST STE 25
Second Line	:
City	:	AMHERST
State	:	MA
Zip	:	01002-1942
Country	:	US
Telephone Number	:	413-225-1370
Fax Number	:	413-895-5532

Provider Business Practice Location Address
First Line	:	150 FEARING ST STE 25
Second Line	:
City	:	AMHERST
State	:	MA
Zip	:	01002-1942
Country	:	US
Telephone Number	:	413-225-1370
Fax Number	:	413-895-5532

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/05/2025
Last Update Date	:	12/05/2025

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Directions to “ MICHELE A GONZALEZ ” Practice Location

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