1. Home
  2. Directory
  3. California
  4. Gardena
  5. Social Worker
  6. NPI Profile

DR PRISCILLA PSY D LICENSED CLINICAL SOCIAL WORKER CORP
NPI 1649931163
Social Worker - Clinical in Gardena, CA

Active since January 06, 2022
12915 DAPHNE AVE, GARDENA, CA 90249(951) 203-1917 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 4, 2024, May 4, 2023, Feb 16, 2022 and 2 more (5 updates tracked since 2022).

About Dr Priscilla Psy D Licensed Clinical Social Worker Corp NPPES

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

DR PRISCILLA PSY D LICENSED CLINICAL SOCIAL WORKER CORP (NPI 1649931163) is a healthcare organization registered as a clinical in Gardena, California and active in the NPI registry since January 2022. The organization lists Priscilla Gales, Pyschotherapist, as its authorized official.

NPPES Registry Identity

NPI1649931163
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameDR PRISCILLA PSY D LICENSED CLINICAL SOCIAL WORKER CORP
Location Address12915 DAPHNE AVEGardena, CA 90249-1603
Mailing Address222 N Pacific Coast Hwy Ste 2000El Segundo, CA 90245-5614 · (951) 203-1917
Phone(951) 203-1917
Organization SubpartNo
Authorized OfficialPriscilla GalesPyschotherapist · (951) 203-1917
Enumeration DateJanuary 6, 2022
Last NPPES UpdateDecember 4, 20245 updates tracked since enumeration
NPPES CertifiedDecember 3, 2024
✔ NPI 1649931163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
12915 DAPHNE AVE, Gardena, CA 90249
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr Priscilla Psy D Licensed Clinical Social Worker Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dr Priscilla Psy D Licensed Clinical Social Worker Corp, which bills Medicare for the services this clinician delivers.

Clinician (1)

Priscilla Gales, LCSW
Clinical Social Worker
NPI 1841789922
12915 DAPHNE AVE
Gardena, CA 90249
(951) 203-1917
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr Priscilla Psy D Licensed Clinical Social Worker Corp's NPI number?

The NPI number for Dr Priscilla Psy D Licensed Clinical Social Worker Corp is 1649931163. It was assigned to this organization in the NPPES registry on January 6, 2022.

Where is Dr Priscilla Psy D Licensed Clinical Social Worker Corp located?

Dr Priscilla Psy D Licensed Clinical Social Worker Corp is located at 12915 Daphne Ave, Gardena, CA 90249. The listed phone number is (951) 203-1917.

What is Dr Priscilla Psy D Licensed Clinical Social Worker Corp's specialty?

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

Is Dr Priscilla Psy D Licensed Clinical Social Worker Corp enrolled in Medicare?

Yes. Dr Priscilla Psy D Licensed Clinical Social Worker Corp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dr Priscilla Psy D Licensed Clinical Social Worker Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Dr Priscilla Psy D Licensed Clinical Social Worker Corp. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dr Priscilla Psy D Licensed Clinical Social Worker Corp was last updated on December 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.