JOSE DOMINGO GONZALEZ LSW
NPI 1710697321
Social Worker - Clinical in Youngstown, OH

Q: What is Jose Gonzalez's NPI number?

The NPI number for Jose Gonzalez is 1710697321. It was assigned to this individual provider in the NPPES registry on December 5, 2022.

Q: What is Jose Gonzalez's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jose Gonzalez was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since December 05, 2022

725 BOARDMAN CANFIELD RD STE C4, YOUNGSTOWN, OH 44512(855) 292-9778(855) 292-9778 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 17, 2025, Dec 3, 2024, Dec 5, 2022 (3 updates tracked since 2022).

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About Jose Domingo Gonzalez Lsw NPPES

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

JOSE DOMINGO GONZALEZ LSW (NPI 1710697321) is an individual clinical provider in Youngstown, Ohio, licensed in Ohio (S.2411071) and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1710697321

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameJOSE DOMINGO GONZALEZCredential: LSW

Location Address725 BOARDMAN CANFIELD RD STE C4Youngstown, OH 44512-4367

Mailing Address725 Boardman Canfield Rd Ste C4Youngstown, OH 44512-4367 · (855) 292-9778 · Fax (855) 292-9778

Phone(855) 292-9778

Fax(855) 292-9778

Sole ProprietorYes

Enumeration DateDecember 5, 2022

Last NPPES UpdateJune 17, 20253 updates tracked since enumeration

NPPES CertifiedJune 17, 2025

✔ NPI 1710697321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in OH · S.2411071

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.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License CDCA.182780 (OH)

Also ListedPeer SpecialistTaxonomy 175T00000X · License APS.003735 (OH)

725 BOARDMAN CANFIELD RD STE C4, Youngstown, OH 44512

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Other Providers at the Same Location NPPES 10

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

KIA M WALLER CDCA

Counselor (Addiction (Substance Use Disorder))