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

David Widom, LCSW

Individual provider Clinical Social Worker · NPI 1992599641

David Widom, LCSW is a Clinical Social Worker in San Gabriel, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

438 W Las Tunas Dr
San Gabriel, CA 91776-1216
Phone: (626) 300-7300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCS18058 (CA)

Record details

NPI number1992599641
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedApril 8, 2025
Last updated in NPPESApril 8, 2025
Certification dateApril 7, 2025
Mailing address1050 Indiana Ave, Venice, CA 90291-2876

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