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DAVID WIDOM LCSW
NPI 1992599641
Social Worker - Clinical in San Gabriel, CA

Active since April 08, 2025
438 W LAS TUNAS DR, SAN GABRIEL, CA 91776(626) 300-7300 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About David Widom Lcsw NPPES

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

DAVID WIDOM LCSW (NPI 1992599641) is an individual clinical provider in San Gabriel, California, licensed in California (LCS18058) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1992599641
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameDAVID WIDOMCredential: LCSW
Location Address438 W LAS TUNAS DRSan Gabriel, CA 91776-1216
Mailing Address1050 Indiana AveVenice, CA 90291-2876 · (310) 678-1812
Phone(626) 300-7300
Sole ProprietorYes
Enumeration DateApril 8, 2025
NPPES CertifiedApril 7, 2025
✔ NPI 1992599641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · LCS18058
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.
438 W LAS TUNAS DR, San Gabriel, CA 91776
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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.

DR. AARON I-LUN JENG MD, MPH
Internal Medicine
438 W LAS TUNAS DR
SAN GABRIEL, CA 91776
Los Angeles County (626) 289-5454
IVOR GREEN M.D. A PROFESSIONAL CORPORATION
Anesthesiology
438 W LAS TUNAS DR
SAN GABRIEL, CA 91776
Los Angeles County (626) 289-5454
ELAINE TAM
Pharmacist
438 W LAS TUNAS DR
SAN GABRIEL, CA 91776
Los Angeles County (626) 289-5454
JICHANG LI, M.D., A MEDICAL CORPORATION
Anesthesiology
438 W LAS TUNAS DR
SAN GABRIEL, CA 91776
Los Angeles County (626) 289-5454
AARON I JENG MD INC
Internal Medicine
438 W LAS TUNAS DR
SAN GABRIEL, CA 91776
Los Angeles County (626) 289-5454
AVTAR S. KUMAR, M.D., INC
Anesthesiology
438 W LAS TUNAS DR
SAN GABRIEL, CA 91776
Los Angeles County (626) 289-5454
DR. RADFORD ROSEBROUGH M.D.
Emergency Medicine
438 W LAS TUNAS DR
SAN GABRIEL, CA 91776
Los Angeles County (626) 289-5454
CHENG Y. CHU M.D.
Anesthesiology
438 W LAS TUNAS DR
SAN GABRIEL, CA 91776
Los Angeles County (626) 289-5454

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 David Widom's NPI number?

The NPI number for David Widom is 1992599641. It was assigned to this individual provider in the NPPES registry on April 8, 2025.

Where is David Widom located?

David Widom practices at 438 W Las Tunas Dr, San Gabriel, CA 91776. The listed phone number is (626) 300-7300.

What is David Widom's specialty?

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

When was this NPI record last updated?

The NPPES record for David Widom was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.