Individual provider Active NPI

Talia Gaeta, LCSW

  • Clinical Social Worker
  • Los Gatos, CA
National Provider Identifier
1285295543
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
110780 Issued in CA
Practice address
233 Oak Meadow Dr
Los Gatos, CA 95032-4401
Phone
(408) 502-6689
NPI assigned
Jun 26, 2019
Last updated
Oct 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Clinical Social Worker 1041C0700X CA
Clinical Social Worker 1041C0700X 110780 CA Primary

Addresses

Primary practice location

233 Oak Meadow Dr
Los Gatos, CA 95032-4401

Mailing address

233 Oak Meadow Dr
Los Gatos, CA 95032-4401
Phone (408) 502-6689

Other practice location 1

3490 The Alameda
Santa Clara, CA 95050-4333
Phone (408) 243-0222

Other practice location 2

15495 Los Gatos Blvd Ste 5
Los Gatos, CA 95032-2544
Phone (408) 533-3277

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

LicenseStateTypeSpecialty
110780CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Affirming Relationship and Family Therapy, Inc. Clinical CurrentSince Jun 9, 2024 Accepting new patients

Locations

233 Oak Meadow Dr
Los Gatos, CA 95032
Phone (408) 502-6689

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1664841600000",
    "number": "1285295543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 OAK MEADOW DR",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950324401",
            "telephone_number": "408-502-6689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 OAK MEADOW DR",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950324401",
            "telephone_number": "408-502-6689"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3490 The Alameda",
            "address_purpose": "LOCATION",
            "city": "Santa Clara",
            "state": "CA",
            "postal_code": "950504333",
            "country_code": "US",
            "telephone_number": "408-243-0222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15495 Los Gatos Blvd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Los Gatos",
            "state": "CA",
            "postal_code": "950322544",
            "country_code": "US",
            "telephone_number": "408-533-3277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAETA",
        "first_name": "TALIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-26",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "110780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.