Individual provider · Type 1 NPI

Gabriel Thomas Shallcross Ii

Clinical Social Worker · Los Angeles, CA

NPI number 1790406791 Active

Practice location

500 S San Pedro St
Los Angeles, CA 90013-2102

Specialties and licenses

Taxonomy	Code	License
Social Worker	104100000X	115951 (CA)
Clinical Social Worker Primary	1041C0700X	138462 (CA)
Student in an Organized Health Care Education/Training Program	390200000X	None listed
Mental Health Counselor	101YM0800X	None listed
Case Manager/Care Coordinator	171M00000X	None 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 1790406791

Gabriel Thomas Shallcross Ii's National Provider Identifier is 1790406791, issued on Sep 7, 2022. 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 May 6, 2026.