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PETRA MARICIA GONZALES
NPI 1104111418
Social Worker - Clinical in San Pablo, CA

Active since June 15, 2011
13585 SAN PABLO AVE FIRST FLOOR, SAN PABLO, CA 94806(510) 942-4600(510) 942-4601 Get Directions Write a Review

NPPES record last updated: April 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Petra Maricia Gonzales NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PETRA MARICIA GONZALES (NPI 1104111418) is an individual clinical provider in San Pablo, California, licensed in California (114557) and active in the NPI registry since June 2011.

NPPES Registry Identity

NPI1104111418
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NamePETRA MARICIA GONZALES
Location Address13585 SAN PABLO AVE FIRST FLOORSan Pablo, CA 94806-9480
Mailing Address13585 San Pablo Ave First FloorSan Pablo, CA 94806 · (510) 942-4600 · Fax (510) 942-4601
Phone(510) 942-4600
Fax(510) 942-4601
Sole ProprietorNo
Enumeration DateJune 15, 2011
Last NPPES UpdateApril 27, 2023
NPPES CertifiedApril 19, 2023
✔ NPI 1104111418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 114557
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
13585 SAN PABLO AVE FIRST FLOOR, San Pablo, CA 94806
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Petra Gonzales's NPI number?

The NPI number for Petra Gonzales is 1104111418. It was assigned to this individual provider in the NPPES registry on June 15, 2011.

Where is Petra Gonzales located?

Petra Gonzales practices at 13585 San Pablo Ave First Floor, San Pablo, CA 94806. The listed phone number is (510) 942-4600.

What is Petra Gonzales's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Petra Gonzales was last updated on April 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.