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GONZALO WALTER WILCHES JR. MA MFT
NPI 1710057013
Social Worker in Tampa, FL

Active since November 08, 2006PECOS Enrolled
5707 N 22ND STREET, MENTAL HEALTH CARE INC, TAMPA, FL 33610(813) 272-2878(813) 272-3766 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Gonzalo Walter Wilches Jr. Ma Mft NPPES

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

GONZALO WALTER WILCHES JR. MA MFT (NPI 1710057013) is an individual social worker in Tampa, Florida and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710057013
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameGONZALO WALTER WILCHES JR.Credential: MA MFT
Location Address5707 N 22ND STREET, MENTAL HEALTH CARE INCTampa, FL 33610
Mailing Address5707 N 22nd Street, Mental Health Care IncTampa, FL 33610 · (813) 272-2878 · Fax (813) 272-3766
Phone(813) 272-2878
Fax(813) 272-3766
Sole ProprietorNo
Enumeration DateNovember 8, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1710057013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
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.
5707 N 22ND STREET, Tampa, FL 33610
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gonzalo Walter Wilches Jr. Ma Mft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Gonzalo Wilches reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PC
2,370 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

VIMBAI MUDIMU
Social Worker
5707 N 22ND STREET
TAMPA, FL 33610
Hillsborough County (813) 272-2878
TREVOR P NELSON
Social Worker (Clinical)
5707 N 22ND STREET, MENTAL HEALTH CARE INC
TAMPA, FL 33610
Hillsborough County (813) 272-2878
SONYA FRAZIER LMHC
Counselor (Mental Health)
5707 N 22ND STREET
TAMPA, FL 33610
Hillsborough County (813) 239-8112
MR. JULIUS ADAMS
Social Worker (Clinical)
5707 N 22ND STREET, MENTAL HEALTH CARE INC
TAMPA, FL 33610
Hillsborough County (813) 272-2878
BARBARA ANN MARAMAN
Social Worker (Clinical)
5707 N 22ND STREET, MENTAL HEALTH CARE INC
TAMPA, FL 33610
Hillsborough County (813) 272-2878
MS. BRANDY NICOLE COBB RIVIERE EDS
Social Worker (Clinical)
5707 N 22ND STREET, MENTAL HEALTH CARE INC
TAMPA, FL 33610
Hillsborough County (813) 272-2878
MRS. SHAWN MARIE PENNINGTON LPMHNP
Nurse Practitioner (Psychiatric/Mental Health)
5707 N 22ND STREET, MENTAL HEALTH CARE INC
TAMPA, FL 33610
Hillsborough County (813) 272-2878
MISS CARMEN FIGUEROA
Social Worker (Clinical)
5707 N 22ND STREET, MENTAL HEALTH CARE INC
TAMPA, FL 33610
Hillsborough County (813) 272-2878

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 Gonzalo Wilches's NPI number?

The NPI number for Gonzalo Wilches is 1710057013. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Where is Gonzalo Wilches located?

Gonzalo Wilches practices at 5707 N 22nd Street Mental Health Care Inc, Tampa, FL 33610. The listed phone number is (813) 272-2878.

What is Gonzalo Wilches's specialty?

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

Is Gonzalo Wilches enrolled in Medicare?

Yes. Gonzalo Wilches is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Gonzalo Wilches's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gonzalo Wilches reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, CA). The 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 Gonzalo Wilches's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Gonzalo Wilches was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.