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

Mandie Lynn Burgess Gonzalez, LSW

Individual provider Physical Therapy Assistant · NPI 1568614394

Mandie Lynn Burgess Gonzalez, LSW is a Physical Therapy Assistant in Pottsville, Pennsylvania. Practices as a sole proprietor and works from 2 locations. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2008
Specialties on file
2
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

See every abbreviation used in this directory →

Practice location Address checks out

396 S Centre St
Pottsville, PA 17901-3596
Phone: (570) 933-0072
Fax: (570) 516-9344
Show map & directions

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

Additional practice locations (1)

  • 649 John Ohara St, Pottsville, PA 17901-1607 — (570) 933-0072

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence SW143159 (PA)
Physical Therapy Assistant Taxonomy 225200000X · Licence TE008109 (PA)

Record details

NPI number1568614394
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSW
Sole proprietorYes
NPI enumeratedOctober 10, 2008
Last updated in NPPESAugust 11, 2025
Certification dateAugust 11, 2025

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