Active NPI
Gabriel Jerome McGowan, LCSW
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1841822368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW87426
- Practice address
- 236 E 58TH St
Los Angeles, CA 90011-5316 - Phone
- (323) 238-1078
- NPI assigned
- Feb 12, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW87426 | CA | Primary |
Addresses
Primary practice location
236 E 58TH St
Los Angeles, CA 90011-5316
Mailing address
PO Box 3426
La Habra, CA 90632-3426
Phone (818) 450-6283
Other practice location 1
510 S Vermont Ave
Los Angeles, CA 90020-1992
Phone (323) 238-1078
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW87426 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634601600000",
"number": "1841822368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3426",
"city": "LA HABRA",
"state": "CA",
"postal_code": "906323426",
"telephone_number": "818-450-6283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "236 E 58TH ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900115316",
"telephone_number": "323-238-1078"
}
],
"practiceLocations": [
{
"address_1": "510 S Vermont Ave",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900201992",
"country_code": "US",
"telephone_number": "323-238-1078",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCGOWAN",
"first_name": "GABRIEL",
"middle_name": "JEROME",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-12",
"last_updated": "2021-10-19",
"certification_date": "2021-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW87426",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.