Individual provider · Type 1 NPI

David Widom, LCSW

Clinical Social Worker · San Gabriel, CA

NPI number 1992599641 Active

Practice location

438 W Las Tunas Dr
San Gabriel, CA 91776-1216

Call (626) 300-7300 Map

Mailing address

1050 Indiana Ave
Venice, CA 90291-2876

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCS18058 (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 1992599641

David Widom, LCSW's National Provider Identifier is 1992599641, issued on Apr 8, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Gabriel, CA. The record was last updated on Apr 8, 2025.