Individual provider · Type 1 NPI

Gavin K. Madeira, LCSW

Clinical Social Worker · Vista, CA

NPI number 1780248609 Active

Practice location

550 W Vista Way
Vista, CA 92083-5732

Call (760) 758-1092 Map

Mailing address

4856 Sumac Pl
Oceanside, CA 92057-5423

Other practice locations

  • 1701 Mission Ave Ste 130, Oceanside, CA 92058-7110 · (760) 305-4848

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Clinical Social Worker 1041C0700X97560 (CA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Clinical Social Worker Primary 1041C0700X123910 (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 1780248609

Gavin K. Madeira, LCSW's National Provider Identifier is 1780248609, issued on Apr 25, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Vista, CA. The record was last updated on Jun 11, 2025.