EDDY M GANA JR. LCSW
NPI 1104475128
Social Worker - Clinical in Los Angeles, CA

Q: What is Eddy Gana's NPI number?

The NPI number for Eddy Gana is 1104475128. It was assigned to this individual provider in the NPPES registry on September 11, 2019.

Q: What is Eddy Gana's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Eddy Gana was last updated on April 11, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 11, 2019

515 COLUMBIA AVE # 200, LOS ANGELES, CA 90017(213) 249-9388(213) 389-7993 Get Directions Write a Review

NPPES record last updated: April 11, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 11, 2023, Sep 11, 2019 (2 updates tracked since 2019).

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About Eddy M Gana Jr. Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDDY M GANA JR. LCSW (NPI 1104475128) is an individual clinical provider in Los Angeles, California, licensed in California (103797) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1104475128

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameEDDY M GANA JR.Credential: LCSW

Location Address515 COLUMBIA AVE # 200Los Angeles, CA 90017-1209

Mailing Address515 Columbia Ave # 200Los Angeles, CA 90017-1209 · (213) 249-9388 · Fax (213) 389-7993

Phone(213) 249-9388

Fax(213) 389-7993

Sole ProprietorNo

Enumeration DateSeptember 11, 2019

Last NPPES UpdateApril 11, 20232 updates tracked since enumeration

NPPES CertifiedApril 11, 2023

✔ NPI 1104475128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in CA · 103797

Definition

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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 83088 (CA), 103797 (CA)

515 COLUMBIA AVE # 200, Los Angeles, CA 90017

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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