MEDICARE: MONICA 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	119386	NY
2	104100000X	Social Worker	10757-M	NV

General Provider Information

NPI Number	:	1861263410
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONICA A GONZALEZ

Provider Business Mailing Address
First Line	:	3430 E RUSSELL RD STE 315
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-2201
Country	:	US
Telephone Number	:	725-238-6990
Fax Number	:

Provider Business Practice Location Address
First Line	:	3430 E RUSSELL RD STE 315
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-2201
Country	:	US
Telephone Number	:	725-238-6990
Fax Number	:

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

Provider Enumeration Date	:	01/12/2024
Last Update Date	:	03/18/2026

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Directions to “ MONICA A GONZALEZ ” Practice Location

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