Mandie Lynn Burgess Gonzalez, LSW
Social Worker in Pottsville, PA. Individual provider (NPI-1).
NPI number1568614394
StatusActive
Last updated in NPPESAug 11, 2025
Details
- NPI
- 1568614394
- Entity type
- Individual (NPI-1)
- Name
- Mandie Lynn Burgess Gonzalez
- Credential
- LSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 10, 2008
- Certification date
- Aug 11, 2025
- Last updated
- Aug 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | SW143159 | PA | Yes |
| 225200000X | Physical Therapy Assistant | TE008109 | PA |
Practice location
396 S Centre StPottsville, PA 17901-3596
Phone 570-933-0072 · Fax 570-516-9344
Mailing address
396 S Centre St Ste 3Pottsville, PA 17901-3597
Phone 570-933-0072 · Fax 570-516-9344
Other practice locations
649 John Ohara St
Pottsville, PA 17901-1607
Pottsville, PA 17901-1607
Phone 570-933-0072
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All 19 Social Worker providers in Pottsville · All 900 providers in Pottsville
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