NPIMap

Organization Active NPI

Gabriel Lam, Licensed Clinical Social Worker, Inc.

  • Community/Behavioral Health Agency
  • El Centro, CA
National Provider Identifier
1487173522
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
26366 Issued in CA
Legal business name
GABRIEL LAM, LICENSED CLINICAL SOCIAL WORKER, INC.
Practice address
230 S 8TH St
El Centro, CA 92243-2905
Phone
(442) 236-8668
Fax
(760) 592-4357
NPI assigned
Sep 10, 2017
Last updated
Sep 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Authorized official

Name
Gabriel Lam, LCSWNPI 1659695971
Title
Provider
Phone
(760) 455-2155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 26366 CA Primary

Addresses

Primary practice location

230 S 8TH St
El Centro, CA 92243-2905

Mailing address

230 S 8TH St
El Centro, CA 92243-2905
Phone (442) 236-8668

Other identifiers 1

IdentifierTypeStateIssuer
1659695971OtherCANPI

Other names 2

  • Gabriel Lam, LCSW, Inc. Other name
  • Gabriel Lam, LCSW, LPCC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211001000460 CA Part B Supplier - Clinic/Group Practice 6204234495 Receives reassigned benefits from 1 practitioner
Practice locations: El Centro, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1505001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1487173522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 S 8TH ST",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922432905",
            "telephone_number": "442-236-8668",
            "fax_number": "760-592-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 S 8TH ST",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922432905",
            "telephone_number": "442-236-8668",
            "fax_number": "760-592-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABRIEL LAM, LICENSED CLINICAL SOCIAL WORKER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-10",
        "last_updated": "2025-09-12",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "760-455-2155",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "26366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1659695971",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gabriel Lam, LCSW, Inc.",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Gabriel Lam, LCSW, LPCC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in El Centro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.