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GENEVIEVE GONZALES LCSW
NPI 1114439643
Social Worker - Clinical in San Diego, CA

Active since October 24, 2017PECOS EnrolledAccepts Medicare Assignment
3636 4TH AVE, STE 302, SAN DIEGO, CA 92103(858) 361-7143 Get Directions Write a Review

NPPES record last updated: June 9, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 9, 2020, Oct 24, 2017 (2 updates tracked since 2017).

About Genevieve Gonzales Lcsw NPPES

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

GENEVIEVE GONZALES LCSW (NPI 1114439643) is an individual clinical provider in San Diego, California, licensed in California (79661) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1114439643
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameGENEVIEVE GONZALESCredential: LCSW
Location Address3636 4TH AVE, STE 302San Diego, CA 92103-4294
Mailing Address3126 Horton AveSan Diego, CA 92103 · (858) 361-7143
Phone(858) 361-7143
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateOctober 24, 2017
Last NPPES UpdateJune 9, 20202 updates tracked since enumeration
NPPES CertifiedJune 9, 2020
✔ NPI 1114439643 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 · 79661
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.
3636 4TH AVE, San Diego, CA 92103
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Genevieve Gonzales Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628335478
PECOS Enrollment IDI20171201002762
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $62.10 – $184.71
Typical copayment $0.00 (range $15.52 – $46.17)
Most-billed visit code NA
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GENUINE PSYCHOLOGICAL SERVICES
Psychologist (Clinical)
3636 4TH AVE, SUITE 304
SAN DIEGO, CA 92103
San Diego County (858) 386-0993
ARTURO BELTRAN
Hearing Instrument Specialist
3636 4TH AVE
SAN DIEGO, CA 92103
San Diego County (619) 297-3131
INFLUX PSYCHOLOGICAL SERVICES, INC.
Psychologist (Clinical)
3636 4TH AVE, STE 302
SAN DIEGO, CA 92103
San Diego County (619) 800-8255
DR. ROBERT ALEXANDER SIMON PH.D.
Psychologist (Forensic)
3636 4TH AVE, SUITE 210
SAN DIEGO, CA 92103
San Diego County (619) 220-7680
DR. CHARLES PHILIP SANDERS D.C.
Chiropractor
3636 4TH AVE, #200
SAN DIEGO, CA 92103
San Diego County (619) 296-4994
DR. LAVORIAL SALONE PHD
Psychologist (Clinical)
3636 4TH AVE, STE 302
SAN DIEGO, CA 92103
San Diego County (760) 599-7085
MARK LYTLE ASSOCIATES A PSYCHOLOGY CORPORATION
Psychologist (Clinical)
3636 4TH AVE, #302
SAN DIEGO, CA 92103
San Diego County (858) 566-4748
DR. THOMAS JOHN BARNES PH. D.
Psychologist (Clinical)
3636 4TH AVE, SUITE 304
SAN DIEGO, CA 92103
San Diego County (619) 294-4200

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 Genevieve Gonzales's NPI number?

The NPI number for Genevieve Gonzales is 1114439643. It was assigned to this individual provider in the NPPES registry on October 24, 2017.

Where is Genevieve Gonzales located?

Genevieve Gonzales practices at 3636 4th Ave Ste 302, San Diego, CA 92103. The listed phone number is (858) 361-7143.

What is Genevieve Gonzales's specialty?

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

Is Genevieve Gonzales enrolled in Medicare?

Yes. Genevieve Gonzales is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Genevieve Gonzales was last updated on June 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.