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

Mayra Gonzalez, LCSW

Individual provider Clinical Social Worker · NPI 1083292718

Mayra Gonzalez, LCSW is a Clinical Social Worker in Petaluma, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2021
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1179 N McDowell Blvd
Petaluma, CA 94954-6559
Phone: (707) 559-7500
Fax: (707) 559-7620
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5900 State Farm Dr Ste 200, Rohnert Park, CA 94928-2149 — (707) 559-7600

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 108214 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 92458 (CA)

Record details

NPI number1083292718
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedApril 1, 2021
Last updated in NPPESOctober 19, 2022
Certification dateOctober 19, 2022
Mailing address1179 N McDowell Blvd, Petaluma, CA 94954-6559

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