Karen O Gates, L.C.S.W.
Social Worker, Clinical in San Marino, CA. Individual provider (NPI-1).
NPI number1013045897
StatusActive
Last updated in NPPESNov 26, 2007
Details
- NPI
- 1013045897
- Entity type
- Individual (NPI-1)
- Name
- Karen O Gates
- Credential
- L.C.S.W.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 1, 2007
- Last updated
- Nov 26, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- Medicare opt-out
- Jan 1, 2025 to Jan 1, 2027
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LCS13937 | CA | Yes |
Practice location
2400 Mission StSan Marino, CA 91108-1632
Phone 626-403-8999 · Fax 626-403-8989
Mailing address
2400 Mission StSan Marino, CA 91108-1632
Phone 626-403-8999 · Fax 626-403-8989
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Clinical Social Worker providers in San Marino, CA
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All 12 Clinical Social Worker providers in San Marino · All 268 providers in San Marino
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