Individual provider · Type 1 NPI

Leslie Gamboa

Clinical Social Worker · Santa Clara, CA

NPI number 1144928458 Active

Practice location

5201 Great America Pkwy Ste 320
Santa Clara, CA 95054-1140

Fax (833) 419-0181

Mailing address

PO Box 382
Highland, CA 92346-0382

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1144928458

Leslie Gamboa's National Provider Identifier is 1144928458, issued on Feb 16, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Santa Clara, CA. The record was last updated on Feb 12, 2026.