Doctor Name: | ELENA GONZALEZ |
NPI Number: | 1013158146 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 19296 |
Business Practice Address: | 2510 Main St Suite 201 Santa Monica, CA - 904053535 |
Business Phone Number: | 3103996670 |
Business Fax Number: | 3103926043 |
Mailing Address: | 2510 Main St, Suite 201 SANTA MONICA |
State: | CA |
Postal Code: | 904053535 |
Phone Number: | 3103996670 |
Fax Number: | 3103926043 |
NPI Enumeration Date: | 03/19/2009 |
NPI Last Update Date: | 03/19/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 19296 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |