Active NPI
Elizabeth Gallego, MSW
- Clinical Social Worker
- Pasadena, CA
National Provider Identifier
1114059078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ASW82584
- Practice address
- 2555 East Colorado Blvd.,
Suite #100
Pasadena, CA 91107-6622 - Phone
- (626) 577-2261
- Fax
- (626) 577-2543
- NPI assigned
- Mar 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Mental Health Counselor | 101YM0800X | ASW33532 | CA | |
| Clinical Social Worker | 1041C0700X | ASW82584 | CA | Primary |
Addresses
Primary practice location
2555 East Colorado Blvd.,
Suite #100
Pasadena, CA 91107-6622
Mailing address
2650 E Foothill Blvd
Pasadena, CA 91107-3439
Phone (626) 577-2261
Other names 1
- Mrs. Elizabeth M. Gallego
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW33532 | CA | MD | Mental Health Counselor |
| ASW82584 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691020800000",
"number": "1114059078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2650 E FOOTHILL BLVD",
"city": "PASADENA",
"state": "CA",
"postal_code": "911073439",
"telephone_number": "626-577-2261",
"fax_number": "626-577-2543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2555 EAST COLORADO BLVD.,",
"address_2": "SUITE #100",
"city": "PASADENA",
"state": "CA",
"postal_code": "911076622",
"telephone_number": "626-577-2261",
"fax_number": "626-577-2543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLEGO",
"first_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-09",
"last_updated": "2023-08-03",
"certification_date": "2023-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "ASW33532",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW82584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "GALLEGO",
"middle_name": "M.",
"prefix": "MRS.",
"credential": "ASW33532",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.