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MARY H GONZALEZ LCSW
NPI 1942132782
Social Worker - Clinical in Berwyn, IL

Active since June 03, 2026PECOS Enrolled
1412 SCOVILLE AVE, BERWYN, IL 60402(708) 669-6160 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mary H Gonzalez Lcsw NPPES

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

MARY H GONZALEZ LCSW (NPI 1942132782) is an individual clinical provider in Berwyn, Illinois, licensed in Illinois (149.030872) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1942132782
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARY H GONZALEZCredential: LCSW
Location Address1412 SCOVILLE AVEBerwyn, IL 60402-1159
Mailing Address1412 Scoville AveBerwyn, IL 60402-1159 · (773) 931-1047
Phone(708) 669-6160
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJune 3, 2026
NPPES CertifiedJune 3, 2026
✔ NPI 1942132782 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 IL · 149.030872
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.
1412 SCOVILLE AVE, Berwyn, IL 60402
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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)

Mary H Gonzalez Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557825049
PECOS Enrollment IDI20260715003396
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 Mary Gonzalez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
1,190 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Illinois enrollment
  • 581 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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 60402 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 $60.08 – $183.39
Typical copayment $0.00 (range $15.02 – $45.84)
Most-billed visit code NA
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

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 1942132782. It was assigned to this individual provider in the NPPES registry on June 3, 2026.

Where is Mary Gonzalez located?

Mary Gonzalez practices at 1412 Scoville Ave, Berwyn, IL 60402. The listed phone number is (708) 669-6160.

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 enrollment system.

Which organization bills Medicare for Mary Gonzalez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Gonzalez reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). 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 Mary Gonzalez'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 Mary Gonzalez was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.