MEDICARE: MARY H 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	149.030872	IL

General Provider Information

NPI Number	:	1942132782
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY H GONZALEZ LCSW

Provider Business Mailing Address
First Line	:	1412 SCOVILLE AVE
Second Line	:
City	:	BERWYN
State	:	IL
Zip	:	60402-1159
Country	:	US
Telephone Number	:	773-931-1047
Fax Number	:

Provider Business Practice Location Address
First Line	:	1412 SCOVILLE AVE
Second Line	:
City	:	BERWYN
State	:	IL
Zip	:	60402-1159
Country	:	US
Telephone Number	:	708-669-6160
Fax Number	:

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

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/03/2026

Similar Medicare Providers

1336954718 — SANDRA L ADAN
Practice Location Address:

1434 SCOVILLE AVE
BERWYN, IL
60402-1159

Practice Phone: 708-860-1549
Practice Fax:

1154066827 — DR. ALEJANDRO GONZALEZ M.D.
Practice Location Address:

3231 EUCLID AVE FL 5
BERWYN, IL
60402-4603

Practice Phone: 708-783-2000
Practice Fax:

1346173630 — SUSANA GODINEZ RN
Practice Location Address:

6918 W WINDSOR AVE
BERWYN, IL
60402-3334

Practice Phone: 708-932-2325
Practice Fax:

1295668598 — SAHANA SRINIVASAN
Practice Location Address:

3249 OAK PARK AVE
BERWYN, IL
60402-0715

Practice Phone: 848-667-2022
Practice Fax:

1205839115 — CML-CHICAGO MARKET LABS, INC.
Practice Location Address:

3231 EUCLID AVE
BERWYN, IL
60402-3471

Practice Phone: 708-783-0737
Practice Fax: 708-783-0668

1134122617 — SHEILA ANNE BERNDT M.D.
Practice Location Address:

6840 WINDSOR AVE
BERWYN, IL
60402-3441

Practice Phone: 708-484-0042
Practice Fax: 708-749-5489

Directions to “ MARY H 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.