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

Michelle Yvonne Gonzalez, LICSW

Individual provider Clinical Social Worker · NPI 1275196479

Michelle Yvonne Gonzalez, LICSW is a Clinical Social Worker in Providence, Rhode Island. Qualified in 2017, 9 years ago. Practices with Affinity Physicians LLC, a 734-clinician group, works from 5 locations, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts, Nevada and Rhode Island.

Years since qualifying
9
Licensed in
MA, NV, RI
In the registry since
2019
Specialties on file
3
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

480 Hope St Fl 1
Providence, RI 02906-1631
Phone: (401) 601-8995
Show map & directions

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

Additional practice locations (4)

  • 332 Aqueduct Rd, Cranston, RI 02910-5203 — (401) 343-0113
  • 1405 S County Trl, East Greenwich, RI 02818-5081 — (401) 736-4570
  • 1351 S County Trl, East Greenwich, RI 02818-5105 — (401) 736-4570
  • 111 Brewster St, Pawtucket, RI 02860-4400 — (401) 729-2304

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence ISW03286 (RI)
Clinical Social Worker Taxonomy 1041C0700X · Licence 224627 (MA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 12743-C (NV)

Record details

NPI number1275196479
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedApril 15, 2019
Last updated in NPPESDecember 1, 2025
Certification dateDecember 1, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Affinity Physicians Llc. — 734 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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