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

Individual provider Clinical Social Worker · NPI 1295923787

Fawn Gonzales, LCSWLLC is a Clinical Social Worker in Newport Beach, California. Qualified in 2009, 17 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California and Oregon.

Years since qualifying
17
Licensed in
CA, OR
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

2436 W Coast Hwy Ste 103
Newport Beach, CA 92663-4771
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 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence L5212 (OR)

Record details

NPI number1295923787
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSWLLC
Sole proprietorYes
NPI enumeratedOctober 9, 2007
Last updated in NPPESDecember 4, 2015

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Newport Beach