Provider Demographics
NPI:1962994152
Name:GONZALEZ, JENIFER LYNN (MSW, LCSW, LCAS, CCS)
Entity type:Individual
Prefix:
First Name:JENIFER
Middle Name:LYNN
Last Name:GONZALEZ
Suffix:
Gender:F
Credentials:MSW, LCSW, LCAS, CCS
Other - Prefix:
Other - First Name:JENIFER
Other - Middle Name:LYNN
Other - Last Name:KARAFFA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:606 PINETREE DR
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28562-4430
Mailing Address - Country:US
Mailing Address - Phone:252-288-4045
Mailing Address - Fax:252-351-0335
Practice Address - Street 1:606 PINETREE DR
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562-4430
Practice Address - Country:US
Practice Address - Phone:252-288-4045
Practice Address - Fax:252-351-0335
Is Sole Proprietor?:No
Enumeration Date:2018-06-04
Last Update Date:2024-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC23440101YA0400X
NCP0114301041C0700X
NCC0122471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)