LISANYIS MASSIEL GONZALEZ
NPI 1609734045
Social Worker - Clinical in Providence, RI

Active since January 14, 2026PECOS Enrolled
55 HOPE ST, PROVIDENCE, RI 02906(401) 331-1350(401) 277-3385 Get Directions Write a Review

NPPES record last updated: January 14, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lisanyis Massiel Gonzalez NPPES

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

LISANYIS MASSIEL GONZALEZ (NPI 1609734045) is an individual clinical provider in Providence, Rhode Island, licensed in Rhode Island (CSW04143) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1609734045
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLISANYIS MASSIEL GONZALEZ
Location Address55 HOPE STProvidence, RI 02906-2001
Mailing Address486 Friendship StProvidence, RI 02907-1118
Fax(401) 277-3385
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 14, 2026
NPPES CertifiedJanuary 14, 2026
NPI 1609734045 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 RI · CSW04143
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.
55 HOPE ST, Providence, RI 02906

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Lisanyis Massiel Gonzalez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597230425
PECOS Enrollment IDI20260408003300
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 02906 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 $58.57 – $177.03
Typical copayment $0.00 (range $14.64 – $44.25)
Most-billed visit code NA
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
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 20

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

Social Worker (Clinical)
55 HOPE ST
PROVIDENCE, RI 02906
Social Worker (Clinical)
55 HOPE ST
PROVIDENCE, RI 02906
Social Worker (Clinical)
55 HOPE ST, FAMILY SERVICE OF RHODE ISLAND
PROVIDENCE, RI 02906
Social Worker
55 HOPE ST
PROVIDENCE, RI 02906
Social Worker (Clinical)
55 HOPE ST
PROVIDENCE, RI 02906
Social Worker (Clinical)
55 HOPE ST
PROVIDENCE, RI 02906
Speech-Language Pathologist
55 HOPE ST, C/O FAMILY SERVICE OF RHODE ISLAND INC
PROVIDENCE, RI 02906
Social Worker (Clinical)
55 HOPE ST
PROVIDENCE, RI 02906

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 Lisanyis Gonzalez's NPI number?

The NPI number for Lisanyis Gonzalez is 1609734045. It was assigned to this individual provider in the NPPES registry on January 14, 2026.

Where is Lisanyis Gonzalez located?

Lisanyis Gonzalez practices at 55 Hope St, Providence, RI 02906. The listed phone number is (401) 331-1350.

What is Lisanyis Gonzalez's specialty?

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

Is Lisanyis Gonzalez enrolled in Medicare?

Yes. Lisanyis Gonzalez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lisanyis Gonzalez was last updated on January 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.