Provider Demographics
NPI:1477681849
Name:GONZALES-HERNANDEZ, ADRIANA ANITA (LCSW, DSW)
Entity Type:Individual
Prefix:DR
First Name:ADRIANA
Middle Name:ANITA
Last Name:GONZALES-HERNANDEZ
Suffix:
Gender:F
Credentials:LCSW, DSW
Other - Prefix:DR
Other - First Name:ADRIANA
Other - Middle Name:ANITA
Other - Last Name:GONZALES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:34800 BOB WILSON DRIVE
Mailing Address - Street 2:ATTN: SOCIAL WORK BLDG 1 / FLOOR 2
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92134
Mailing Address - Country:US
Mailing Address - Phone:619-532-7150
Mailing Address - Fax:
Practice Address - Street 1:34800 BOB WILSON DRIVE
Practice Address - Street 2:ATTN: SOCIAL WORK DEPT BLDG 1 / FLOOR 2
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92134
Practice Address - Country:US
Practice Address - Phone:619-532-7150
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW290781041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical