MRS. MARY JEAN GONWA LCSW
NPI 1477661767
Social Worker in West Bend, WI

Active since August 27, 2006
279 S 17TH AVE, SUITE 10, WEST BEND, WI 53095(262) 306-9317 Get Directions Write a Review

NPPES record last updated: October 5, 2016. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mrs. Mary Jean Gonwa Lcsw NPPES

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

MRS. MARY JEAN GONWA LCSW (NPI 1477661767) is an individual social worker in West Bend, Wisconsin, licensed in Wisconsin (796) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1477661767
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMRS. MARY JEAN GONWACredential: LCSW
Location Address279 S 17TH AVE, SUITE 10West Bend, WI 53095-3001
Mailing Address111 E Washington St, Suite 200West Bend, WI 53095-2571 · (262) 338-2717 · Fax (262) 338-9767
Sole ProprietorNo
Enumeration DateAugust 27, 2006
Last NPPES UpdateOctober 5, 2016
✔ NPI 1477661767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in WI · 796
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
279 S 17TH AVE, West Bend, WI 53095

Other Identifiers 4

Medicare PIN68375WI
Medicare PIN038284145WI
Medicare PIN84145WI
Medicaid39708200WI

Other Providers at the Same Location NPPES 8

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

Counselor (Addiction (Substance Use Disorder))
279 S 17TH AVE, SUITE 9
WEST BEND, WI 53095
Counselor (Mental Health)
279 S 17TH AVE
WEST BEND, WI 53095
Social Worker
279 S 17TH AVE, SUITE 10
WEST BEND, WI 53095
Counselor (Mental Health)
279 S 17TH AVE, SUITE 10
WEST BEND, WI 53095
Clinic/Center (Physical Therapy)
279 S 17TH AVE, SUITE 3
WEST BEND, WI 53095
Physical Therapist
279 S 17TH AVE, SUITE 3
WEST BEND, WI 53095
Occupational Therapist
279 S 17TH AVE, ST 10A
WEST BEND, WI 53095
Occupational Therapist
279 S 17TH AVE, ST 10A
WEST BEND, WI 53095

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 Gonwa's NPI number?

The NPI number for Mary Gonwa is 1477661767. It was assigned to this individual provider in the NPPES registry on August 27, 2006.

Where is Mary Gonwa located?

Mary Gonwa practices at 279 S 17th Ave Suite 10, West Bend, WI 53095. The listed phone number is (262) 306-9317.

What is Mary Gonwa's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Mary Gonwa was last updated on October 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.