Individual provider Active NPI

Celine Gaos, LCSW

  • Clinical Social Worker
  • Stevenson Ranch, CA
National Provider Identifier
1225699564
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
118706 Issued in CA
Practice address
26035 Sandburg PL
Stevenson Ranch, CA 91381-1312
Phone
(661) 373-4901
NPI assigned
Jun 26, 2019
Last updated
Aug 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 118706 CA Primary

Addresses

Primary practice location

26035 Sandburg PL
Stevenson Ranch, CA 91381-1312

Mailing address

26035 Sandburg PL
Stevenson Ranch, CA 91381-1312
Phone (661) 373-4901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11500 W Olympic Blvd
Suite 400
Los Angeles, CA 90064-1525

26035 Sandburg PL
Stevenson Ranch, CA 91381-1312

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
118706CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1225699564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26035 SANDBURG PL",
            "city": "STEVENSON RANCH",
            "state": "CA",
            "postal_code": "913811312",
            "telephone_number": "661-373-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26035 SANDBURG PL",
            "city": "STEVENSON RANCH",
            "state": "CA",
            "postal_code": "913811312",
            "telephone_number": "661-373-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAOS",
        "first_name": "CELINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "118706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevenson Ranch, CA

Sources for this page

Verify at the official NPI Registry.