Stacie Marie Gonzales, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Denver, Colorado. She graduated from healthcare school in 2016 and has 10 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Colorado Coalition For The Homeless and her current practice location is
2130 Stout St, Denver, Colorado. You can reach out to her office (for appointments etc.) via phone at
(303) 293-2220.
Stacie Marie Gonzales is licensed to practice in Colorado (license number CSW.09927874) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1487106365.
Healthcare Provider's Profile
| Full Name | Stacie Marie Gonzales |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 10 Years |
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| Location | 2130 Stout St, Denver, Colorado |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Stacie Marie Gonzales graduated from medical school in 2016
NPI Data:
- NPI Number: 1487106365
- Provider Enumeration Date: 10/26/2016
- Last Update Date: 08/23/2023
Medicare PECOS Information:
- PECOS PAC ID: 3779976790
- Enrollment ID: I20220215000583
Medical Identifiers
Medical identifiers for Stacie Marie Gonzales such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487106365 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | NLC.0106614 (Colorado) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | CSW.09927874 (Colorado) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Colorado Coalition For The Homeless | 7618958687 | 31 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stacie Marie Gonzales is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Stacie Marie Gonzales, LCSW
2111 Champa St,
Denver, CO 80205-2529
Ph: (719) 543-8711 | Stacie Marie Gonzales, LCSW
2130 Stout St,
Denver, CO 80205-2827
Ph: (303) 293-2220 |
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