Gonzalez, Kaitlyn N

Gonzalez, Kaitlyn N is an individual health care provider with primary practice located at 1959 Merrill St , Santa Cruz CA 95062-4102. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Gonzalez, Kaitlyn N can be contacted via phone (831) 477-2063.

Contact Information

Primary practice address
1959 Merrill St Santa Cruz CA 95062-4102
Phone: (831) 477-2063
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 106667 California

Profile Details

NPI number 1356714612
LBN Legal business name Gonzalez, Kaitlyn N
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2015
Last updated Aug 12th, 2026 - about 2 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356714612 NPPES
California Other ZZZ91892Z SANTA CRUZ COUNTY MEDICARE GROUP PTAN#

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