Provider Demographics
NPI:1619544871
Name:LONS, GARY ORLANDO (MSW)
Entity type:Individual
Prefix:
First Name:GARY
Middle Name:ORLANDO
Last Name:LONS
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1770 CARMEL DR APT 203
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94596-4244
Mailing Address - Country:US
Mailing Address - Phone:415-524-9583
Mailing Address - Fax:
Practice Address - Street 1:1770 CARMEL DR APT 203
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-4244
Practice Address - Country:US
Practice Address - Phone:415-524-9583
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-07
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA842031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty