National Provider Identifier
Jessica Gonzalez
Jessica Gonzalez is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Buffalo, NY and a listed phone number of (171) 656-6500.
Profile Overview
- NPI
- 1659133551
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- January 25, 2024
- Last Updated
- January 25, 2024
Practice Location
- 800 Hertel Ave Ste 101
- Buffalo, NY 14207-1906
Phone: (171) 656-6500
Mailing Address
- 800 Hertel Ave # 101
- Buffalo, NY 14207-1906
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1659133551
- Entity Type
- Individual
- Last Name
- Gonzalez
- First Name
- Jessica
- Mailing Street Address
- 800 Hertel Ave # 101
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14207-1906
- Mailing Country
- US
- Mailing Phone
- (716) 566-5050
- Practice Street Address
- 800 Hertel Ave Ste 101
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14207-1906
- Practice Country
- US
- Practice Phone
- (171) 656-6500
- Enumeration Date
- January 25, 2024
- Last Updated
- January 25, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- January 25, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)