MEDICARE: LESLIE R 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
1	1041C0700X	Clinical Social Worker	P009258	NC

General Provider Information

NPI Number	:	1720484074
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LESLIE R GONZALEZ LCSW

Provider Business Mailing Address
First Line	:	1250 REVOLUTION MILL DR STE 126
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27405-5195
Country	:	US
Telephone Number	:	336-223-4930
Fax Number	:	336-551-9566

Provider Business Practice Location Address
First Line	:	1250 REVOLUTION MILL DR STE 126
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27405-5195
Country	:	US
Telephone Number	:	336-223-4930
Fax Number	:	336-551-9566

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

Provider Enumeration Date	:	11/14/2014
Last Update Date	:	05/12/2026

Similar Medicare Providers

1316559420 — H3 - HOPE, HEALTH & HEALING PLLC
Practice Location Address:

1250 REVOLUTION MILL DR STE 126
GREENSBORO, NC
27405-5195

Practice Phone: 336-223-6041
Practice Fax: 336-551-9566

1578802682 — MS. JILL CARLTON MS,NCC,LPC
Practice Location Address:

5195 ASHGROVE DR
GREENSBORO, NC
27410-9259

Practice Phone: 336-686-2925
Practice Fax:

1851627087 — MR. EDWARD G. HOLLAN OTR/L
Practice Location Address:

931 3RD ST
GREENSBORO, NC
27405-6967

Practice Phone: 336-890-2700
Practice Fax:

1578493037 — WHOLISTIC CARE SERVICES LLC
Practice Location Address:

4920 BLACK FOREST DR
GREENSBORO, NC
27405-9807

Practice Phone: 732-523-4057
Practice Fax:

1861649337 — KATHLEEN KELLER REES SLP
Practice Location Address:

2500 N CHURCH ST
GREENSBORO, NC
27405-4314

Practice Phone: 336-375-2240
Practice Fax: 336-375-2214

1730758764 — DR. ELIZABETH ANNE MORRISON DPM
Practice Location Address:

2001 N CHURCH ST
GREENSBORO, NC
27405-5633

Practice Phone: 336-375-6990
Practice Fax:

Directions to “ LESLIE R GONZALEZ LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.