Provider Demographics
NPI:1982831772
Name:CEDENO, GONZALO (LCSW)
Entity type:Individual
Prefix:
First Name:GONZALO
Middle Name:
Last Name:CEDENO
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 WASHINGTON ST APT 3201
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-2220
Mailing Address - Country:US
Mailing Address - Phone:603-661-6450
Mailing Address - Fax:
Practice Address - Street 1:1 WASHINGTON ST APT 3201
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-2220
Practice Address - Country:US
Practice Address - Phone:603-661-6450
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-18
Last Update Date:2025-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH21551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical