Fawn Gonzales Lcsw LLC
NPI 1417322231 · Clinical Social Worker · Medford, OR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fawn Gonzales Lcsw LLC is a Clinical Social Worker organization in Medford, OR (NPI 1417322231).
Provider details
- NPI number
- 1417322231
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Fawn Gonzales, Owner(541) 944-7711
- License
- 5212 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-12-04
- Last updated
- 2015-12-04
Frequently asked questions
- What is Fawn Gonzales Lcsw LLC's NPI number?
- Fawn Gonzales Lcsw LLC's National Provider Identifier (NPI) is 1417322231, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fawn Gonzales Lcsw LLC?
- Fawn Gonzales Lcsw LLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Fawn Gonzales Lcsw LLC located?
- Fawn Gonzales Lcsw LLC's practice location on file with NPPES is 14 Cottage St, Medford, OR 97504-7332.
- What is Fawn Gonzales Lcsw LLC's phone number?
- The practice phone number listed in the NPPES registry for Fawn Gonzales Lcsw LLC is (541) 944-7711.
- Does Fawn Gonzales Lcsw LLC accept Medicare?
- Fawn Gonzales Lcsw LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Fawn Gonzales Lcsw LLC?
- The authorized official listed on Fawn Gonzales Lcsw LLC's NPPES record is Fawn Gonzales, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fawn Gonzales Lcsw LLC's NPI active?
- Yes — Fawn Gonzales Lcsw LLC's NPI (1417322231) is active in the NPPES registry as of the last update on 2015-12-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.