STEPHANIE ANN GONZALEZ (LCSW) – Clinical Social Worker, NPI 1770987083

STEPHANIE ANN GONZALEZ (LCSW) is a healthcare provider. based in Lansing, Michigan. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 6801088833 (MI). The NPI Number for STEPHANIE ANN GONZALEZ (LCSW) is 1770987083

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE ANN GONZALEZ (LCSW)
NPI
1770987083
Phone
(517) 410-0311
Address
913 W HOLMES RD STE 143
Enumeration Date
15 October 2014
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
5176670061
Graduation Year
2006 (20 years ago)
PAC ID
2264706258
Group Practice PAC ID
4385864768
Professional Enrollment ID
I20170914000255
Address ID
MI489122326LA1801XSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

4,887 CLINICAL SOCIAL WORKER in MI

Provider Addresses for STEPHANIE ANN GONZALEZ (LCSW)

  • 913 W HOLMES RD STE 143

    LANSING, MI 489100435

    Phone: (517) 410-0311

    Fax: (517) 507-4888

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-09-14

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170914000255IClinical Social WorkerMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48910)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385864768View full group profile
NameSpecialtyState
Clinical Social WorkerMI
-MI
Clinical Social WorkerMI
Clinical Social WorkerMI

Reviews

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Frequently asked questions

Can I use this page to confirm STEPHANIE ANN GONZALEZ (LCSW)'s NPI?
Yes. STEPHANIE ANN GONZALEZ (LCSW) is listed with NPI 1770987083 in the public NPI dataset.
Is STEPHANIE ANN GONZALEZ (LCSW) listed as active for patients and plans?
The listing shows STEPHANIE ANN GONZALEZ (LCSW) as active in the NPI system.
What is STEPHANIE ANN GONZALEZ (LCSW) best known for clinically?
Directory data describes STEPHANIE ANN GONZALEZ (LCSW) with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What address line appears for STEPHANIE ANN GONZALEZ (LCSW)?
STEPHANIE ANN GONZALEZ (LCSW)'s geographic hint is Lansing, Michigan in our summary view.
Is the information about STEPHANIE ANN GONZALEZ (LCSW) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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