Individual provider · Type 1 NPI

Laudan Gish, LCSW

Clinical Social Worker · Los Angeles, CA

NPI number 1104796218 Active

Practice location

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

Mailing address

3019 Ocean Park Blvd # 805
Santa Monica, CA 90405-3004

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X81666 (CA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1104796218

Laudan Gish, LCSW's National Provider Identifier is 1104796218, issued on Nov 5, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Los Angeles, CA. The record was last updated on Nov 5, 2025.