Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

David Gudino, LCSW80521

Individual provider Mental Health Counselor · NPI 1104179217

David Gudino, LCSW80521 is a Clinical Social Worker in Los Angeles, California. Qualified in 2012, 14 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
14
Licensed in
CA
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

224 E 6th St
Los Angeles, CA 90014-2119
Phone: (213) 650-6300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 855 N Orange Grove Blvd, Pasadena, CA 91103-3333 — (626) 796-3453

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW80521 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence ASW34490 (CA)

Record details

NPI number1104179217
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW80521
Sole proprietorNo
NPI enumeratedOctober 26, 2012
Last updated in NPPESJune 28, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Los Angeles