LKG Licensed Clinical Social Worker Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

LKG LICENSED CLINICAL SOCIAL WORKER INC

Practice address

10780 Santa Monica Blvd Ste 105
Los Angeles, CA 90025-7613

Phone

(323) 456-3864

NPI assigned

Oct 29, 2025

Organization subpart

No

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

Authorized official

Name

Laudan Kermani Gish, LCSWNPI 1104796218

Title

Owner

Phone

(323) 456-3864

Specialties & licenses 1

Addresses

Other names 1

• LKG Psychotherapy & Coaching Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laudan Gish, LCSW

  • Clinical Social Worker
  • Los Angeles, CA
  • NPI 1104796218
  NPD Authorized official

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

{
    "created_epoch": "1761696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762128000000",
    "number": "1396613428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3019 OCEAN PARK BLVD # 805",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904053004",
            "telephone_number": "323-456-3864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10780 SANTA MONICA BLVD STE 105",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900257613",
            "telephone_number": "323-456-3864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LKG LICENSED CLINICAL SOCIAL WORKER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-29",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A",
        "authorized_official_last_name": "GISH",
        "authorized_official_first_name": "LAUDAN",
        "authorized_official_middle_name": "KERMANI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-456-3864",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LKG Psychotherapy & Coaching",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gabriela Lizarraga
• Maria Lizarraga
• Sergio A Lizarraga, COUNSELOR
• Angelina Lizarraras
• Karl Ljungquist
• Amber Llaban
• Carmencita Llado, MD
• Leonardo Llamas Serrano
• Yovani Llamas Valle, DO, PHD
• Melina Llamas-Meneses, MSW/ASW

• Clinical Social Worker in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; 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.