Dr Priscilla Psy D Licensed Clinical Social Worker Corp

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

DR PRISCILLA PSY D LICENSED CLINICAL SOCIAL WORKER CORP

Practice address

12915 Daphne Ave
Gardena, CA 90249-1603

Phone

(951) 203-1917

NPI assigned

Jan 6, 2022

Organization subpart

No

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

Authorized official

Name

Priscilla Gales, LCSWNPI 1841789922

Title

Pyschotherapist

Phone

(951) 203-1917

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Priscilla Gales, LCSW

  • Clinical Social Worker
  • Gardena, CA
  • NPI 1841789922
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1641427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1649931163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 N PACIFIC COAST HWY STE 2000",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902455614",
            "telephone_number": "951-203-1917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12915 DAPHNE AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902491603",
            "telephone_number": "951-203-1917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR PRISCILLA PSY D LICENSED CLINICAL SOCIAL WORKER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-06",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "GALES",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_title_or_position": "PYSCHOTHERAPIST",
        "authorized_official_telephone_number": "951-203-1917",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rotem Douer
• Mitchell Dougherty
• Brian M Dow, PH.D.
• Kyle Dow
• Sabrinia Marie Downs
• Dr. Iris Liu and Associates Inc
• Dragonfly Mental Health Professional Clinical Counselors, Inc
• Chloe Lyn Drake, NONE
• Drew Child Development Corporation
• Carla Driver

• Clinical Social Worker in Gardena, CA
• Providers in Gardena, 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 Dec 4, 2024; 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.