MRS. DORA IDALIA GONZALEZ (LCSW) – Clinical Social Worker, NPI 1164280871

MRS. DORA IDALIA GONZALEZ (LCSW) is a healthcare provider. based in Austin, Texas. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 69501 (TX). The NPI Number for MRS. DORA IDALIA GONZALEZ (LCSW) is 1164280871

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MRS. DORA IDALIA GONZALEZ (LCSW)
NPI
1164280871
Phone
(512) 478-4939
Address
1101 CAMINO LA COSTA
Enumeration Date
7 March 2024
Last Update Date
7 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3462063992
Graduation Year
2019 (7 years ago)
PAC ID
7719420918
Group Practice PAC ID
6305131517
Professional Enrollment ID
I20240617000701
Address ID
TX770042760HO2808XSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

2,555 CLINICAL SOCIAL WORKER in TX

Provider Addresses for MRS. DORA IDALIA GONZALEZ (LCSW)

  • 1101 CAMINO LA COSTA

    AUSTIN, TX 787523930

    Phone: (512) 478-4939

    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: 2024-06-17

PECOS data refreshed: 2026-05-27

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
I20240617000701IClinical Social WorkerTXTBD

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 78752)

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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: 6305131517View full group profile
NameSpecialtyState
Mental Health CounselorTX
Mental Health CounselorTX
Mental Health CounselorOK
Clinical Social WorkerCT
Mental Health CounselorCA
Clinical Social WorkerTX
-TX
Mental Health CounselorTX
Clinical Social WorkerTX
Mental Health CounselorTX

Reviews

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Frequently asked questions

How do payers reference MRS. DORA IDALIA GONZALEZ (LCSW)?
For MRS. DORA IDALIA GONZALEZ (LCSW), use NPI 1164280871 as the unique 10-digit identifier.
Active or inactive — what applies to MRS. DORA IDALIA GONZALEZ (LCSW)?
You should see MRS. DORA IDALIA GONZALEZ (LCSW) as active in CMS-hosted NPPES data.
What area of care is associated with MRS. DORA IDALIA GONZALEZ (LCSW)?
MRS. DORA IDALIA GONZALEZ (LCSW)'s record emphasizes Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is MRS. DORA IDALIA GONZALEZ (LCSW) associated with Austin?
Public fields place MRS. DORA IDALIA GONZALEZ (LCSW) around Austin, Texas. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for MRS. DORA IDALIA GONZALEZ (LCSW) is noted as March 7, 2024 where the registry provides it.

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