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

Edward Gonzalez, LCSWLDAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1346654399

Edward Gonzalez, LCSWLDAC is a Clinical Social Worker in Manchester, Connecticut. Graduated from State University of New York at Stony Brook, School of Medicine in 2014, 12 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
12
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
CT
In the registry since
2014
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

627 Main St
Manchester, CT 06040-5181
Phone: (860) 324-0042
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 27 May Street 2nd Floor, Hartford, CT 06104 — (516) 652-2100

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 010279 (CT)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 1090 (CT)

Record details

NPI number1346654399
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSWLDAC
Sole proprietorYes
NPI enumeratedJune 18, 2014
Last updated in NPPESMay 12, 2022
Certification dateMay 12, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Manchester