IndividualActive
Amanda Gonzalez
NPI 1730054024 · Clinical Social Worker · Tupelo, MS
Provider details
- NPI number
- 1730054024
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- M11544 (MS)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
302 S Spring St
Tupelo, MS 38804-4853
Phone: (662) 205-0098
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 68
Tupelo, MS 38802-0068
Registry dates
- Enumerated
- 2025-10-07
- Last updated
- 2026-01-02
- Certified
- 2026-01-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.