Active NPIIndividual providerSole proprietor

Brian Gonsalves

Social Worker, Clinical in Randolph, Massachusetts

NPI Number1346863693
Practice location
248 High St, Randolph, MA 02368-1837
Fax
—
Last updated
June 5, 2020

Brian Gonsalves is a Social Worker, Clinical based in Randolph, MA. Brian Gonsalves practices in Randolph, MA. The NPI Number for Brian Gonsalves is 1346863693 and holds a License No. 115082 (MA). The current practice location address for Brian Gonsalves is 248 High St, Randolph, MA 02368-1837 and can be reached out via phone at 617-407-4454.

Provider Profile Details

NPI Number
1346863693
Provider Name
Brian Gonsalves
Provider Entity Type
Individual
Gender
Male
Address
248 High St, Randolph, MA 02368-1837
Phone Number
617-407-4454
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
May 21, 2020
Last Update Date
June 5, 2020
Certification Date
June 5, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
248 High St
Randolph, MA 02368-1837
Zip
02368-1837
Phone Number
617-407-4454
Randolph, MA 02368Get directions →

Provider Business Mailing Address Details

Address
248 High St
Randolph, MA 02368-1837
City
Randolph
State
MA
Zip
02368-1837
Phone Number
617-407-4454

License Information

License Number (1)
115082
License State (1)
MA
Taxonomy (1)
Counselor · 101Y00000X
License Number (2)
115082
License State (2)
MA
Taxonomy (2)
Counselor, Professional · 101YP2500X
Taxonomy (3)
Counselor, School · 101YS0200X
License Number (4)
115082
License State (4)
MA
Taxonomy (4)
Social Worker · 104100000X
License Number (5)
115082
License State (5)
MA
Taxonomy (5)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Brian Gonsalves?

The NPI number of Brian Gonsalves is 1346863693. It was assigned on May 21, 2020 and is currently active in the NPPES registry.

What is the specialty of Brian Gonsalves?

Brian Gonsalves is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 115082.

Where does Brian Gonsalves practice?

The practice location is 248 High St, Randolph, MA 02368-1837. The office can be reached at 617-407-4454 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1346863693 directly on the NPPES registry website.

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