Provider Demographics
NPI:1689813750
Name:GONZALEZ, TIMOTHY J (MSW/LCSW)
Entity Type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:J
Last Name:GONZALEZ
Suffix:
Gender:M
Credentials:MSW/LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:471 SHELBOURNE DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15239-3613
Mailing Address - Country:US
Mailing Address - Phone:412-583-7505
Mailing Address - Fax:412-342-0402
Practice Address - Street 1:8350 FRANKSTOWN AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15221-1336
Practice Address - Country:US
Practice Address - Phone:412-342-0600
Practice Address - Fax:412-342-0402
Is Sole Proprietor?:No
Enumeration Date:2009-02-13
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0166291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical