MEDICARE: DANIELLE 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

General Provider Information

NPI Number	:	1558225961
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELLE GONZALEZ

Provider Business Mailing Address
First Line	:	6 SUNSET DR
Second Line	:
City	:	BEVERLY
State	:	MA
Zip	:	01915-2320
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6 SUNSET DR
Second Line	:
City	:	BEVERLY
State	:	MA
Zip	:	01915-2320
Country	:	US
Telephone Number	:	202-525-9476
Fax Number	:

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

Provider Enumeration Date	:	12/10/2025
Last Update Date	:	12/10/2025

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Directions to “ DANIELLE GONZALEZ ” Practice Location

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