MARY GONZALEZ LICSW
NPI 1366940512
Social Worker - Clinical in Saint Paul, MN
About Mary Gonzalez Licsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY GONZALEZ LICSW (NPI 1366940512) is an individual clinical provider in Saint Paul, Minnesota, licensed in Minnesota (23259) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mary Gonzalez Licsw 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.
Medicare Billing Reassignments
2Medicare enrollment records show Mary Gonzalez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
St Paul, MN 55108
- Reassigned Medicare billing, Minnesota enrollment
- 121 clinicians in this Medicare group
Anoka, MN 55303
- Reassigned Medicare billing, Minnesota enrollment
- 145 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55108 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAINT PAUL, MN 55108
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 Mary Gonzalez's NPI number?
The NPI number for Mary Gonzalez is 1366940512. It was assigned to this individual provider in the NPPES registry on January 23, 2018.
Where is Mary Gonzalez located?
Mary Gonzalez practices at 2265 Como Ave, Saint Paul, MN 55108. The listed phone number is (651) 645-5323.
What is Mary Gonzalez's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Mary Gonzalez enrolled in Medicare?
Yes. Mary Gonzalez 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.
Which organizations bill Medicare for Mary Gonzalez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Gonzalez reassigns Medicare benefits to 2 organizations: Emily Program P C (St Paul, MN) and Family Innovations, Inc. (Anoka, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Gonzalez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Gonzalez accept?
Health plans from HealthPartners list Mary Gonzalez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mary Gonzalez was last updated on January 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Mary Gonzalez, LICSW · NPI 1366940512
Clinical provider in Saint Paul, Minnesota. Individual provider, active in the CMS NPPES registry since January 23, 2018.
## Identity
- **NPI:** 1366940512 (Entity type: Individual)
- **Enumerated:** January 23, 2018
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 23259 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 2265 COMO AVE, Saint Paul, MN 55108-1737
- **Phone:** (651) 645-5323
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Emily Program P C (NPI 1528165065, St Paul, MN); Family Innovations, Inc. (NPI 1992862783, Anoka, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** January 30, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1366940512) · Data from the CMS NPPES public registry.