Gabriela Garcia Elizaldi, LCSW 75445

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

75445 Issued in CA

Practice address

3555 Wilmarth Rd
Stockton, CA 95215-1114

Phone

(209) 292-2900

NPI assigned

Mar 26, 2007

Last updated

Jan 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1225156599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 WILMARTH RD",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952151114",
            "telephone_number": "209-292-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 WILMARTH RD",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952151114",
            "telephone_number": "209-292-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIZALDI",
        "first_name": "GABRIELA",
        "middle_name": "GARCIA",
        "name_prefix": "Mrs.",
        "credential": "LCSW 75445",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "75445",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "ASW17184",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dinal Elias
• Joe Elias
• Stephen Elias, AMFT
• Stan Elijah, MT
• Elizabeth Thompson
• Vincent Elizaldi
• Sara Ellingsworth
• Joy Shaloma Elliott-Demars, PA-C
• Chad Elliott
• Lashray Elliott

• Mental Health Counselor in Stockton, CA
• Providers in Stockton, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.

Verify at the official NPI Registry.