National Provider Identifier

Micaela Lara-Gonzalez, LMSW

Micaela Lara-Gonzalez, LMSW is listed in the NPPES registry with a primary specialty of Social Worker in Rochester, NY and a listed phone number of (585) 682-8092.

NPI 1679446488Rochester, NYSocial Worker

Profile Overview

NPI
1679446488
Provider Type
Individual
Primary Specialty
Social Worker
Enumeration Date
September 26, 2025
Last Updated
October 24, 2025

Practice Location

  • 595 Blossom RD Ste 202
  • Rochester, NY 14610-1863

Phone: (585) 682-8092

Mailing Address

  • 26 Whittier RD
  • Rochester, NY 14624-2010

Specialties

  • Social Worker (104100000X)
Full Record
NPI
1679446488
Entity Type
Individual
Last Name
Lara-Gonzalez
First Name
Micaela
Credential
LMSW
Provider Other Last Name
Gonzalez
Provider Other First Name
Mica
Provider Other Credential Text
LMSW
Provider Other Last Name Type Code
2
Mailing Street Address
26 Whittier RD
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14624-2010
Mailing Country
US
Practice Street Address
595 Blossom RD Ste 202
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14610-1863
Practice Country
US
Practice Phone
(585) 682-8092
Enumeration Date
September 26, 2025
Last Updated
October 24, 2025
Sex
Female
Sole Proprietor
No
Certification Date
September 26, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Social Worker (104100000X)