Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fawn Gonzales LCSW LLC

Organization Clinical Social Worker · NPI 1417322231

Fawn Gonzales LCSW LLC is a Clinical Social Worker in Medford, Oregon. Licensed in Oregon. Registered with an NPI since 2015.

Licensed in
OR
In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

14 Cottage St
Medford, OR 97504-7332
Phone: (541) 944-7711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 5212 (OR)

Record details

NPI number1417322231
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fawn Gonzales — Owner · (541) 944-7711
NPI enumeratedDecember 4, 2015
Last updated in NPPESDecember 4, 2015
Mailing address1820 W Balboa Blvd, Newport Beach, CA 92663-4515

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