Active NPI
Lisa Rebecca Gallegos, LCSW
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1912232059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 65614
- Practice address
- 1751 Colorado Blvd Ste 374
Los Angeles, CA 90041-1348 - Phone
- (213) 840-1659
- NPI assigned
- Oct 7, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 65614 | CA | Primary |
Addresses
Primary practice location
1751 Colorado Blvd Ste 374
Los Angeles, CA 90041-1348
Mailing address
1751 Colorado Blvd Ste 374
Los Angeles, CA 90041-1348
Phone (213) 840-1659
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2026 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772150400000",
"number": "1912232059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1751 COLORADO BLVD STE 374",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900411348",
"telephone_number": "213-840-1659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1751 COLORADO BLVD STE 374",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900411348",
"telephone_number": "213-840-1659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLEGOS",
"first_name": "LISA",
"middle_name": "REBECCA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-07",
"last_updated": "2026-02-27",
"certification_date": "2026-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "65614",
"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 Feb 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.