Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fawn Gonzales LCSW LLC

Organization Clinical Social Worker · NPI 1417322231

Fawn Gonzales LCSW LLC provides Clinical Social Worker services in Medford, Oregon. Licensed in Oregon. Registered with an NPI since 2015.

Licensed in
OR
In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

14 Cottage St
Medford, OR 97504-7332 Not confirmed with CMS for 10 years — call before visiting
Phone: (541) 944-7711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 5212 (OR)

Record details

NPI number1417322231
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fawn Gonzales — Owner · (541) 944-7711
NPI enumeratedDecember 4, 2015
Last updated in NPPESDecember 4, 2015
Mailing address1820 W Balboa Blvd, Newport Beach, CA 92663-4515

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