Individual provider · Type 1 NPI

Kristy Elaine Gamboa, LCSW

Clinical Social Worker · Los Angeles, CA

NPI number 1801276381 Active

Practice location

8939 S Sepulveda Blvd Ste 460
Los Angeles, CA 90045-3653

Call (909) 833-5455 Map

Mailing address

1255 15th St
Santa Monica, CA 90404-1101

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X102689 (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 1801276381

Kristy Elaine Gamboa, LCSW's National Provider Identifier is 1801276381, issued on Jun 1, 2015. 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 Jul 21, 2026.