Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Gabriella R Lake, LCSW

Individual provider Clinical Social Worker · NPI 1235616889

MS. Gabriella R Lake, LCSW is a Clinical Social Worker in Bronx, New York. Practices as a sole proprietor and works from 2 locations. Licensed in New Jersey and New York.

Licensed in
NJ, NY
In the registry since
2018
Specialties on file
2
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

57 W Burnside Ave # B1
Bronx, NY 10453-4038
Phone: (718) 893-8900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 57 W Burnside Ave # B1, Bronx, NY 10453 — (718) 893-8900

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 093931 (NY)
Clinical Social Worker Taxonomy 1041C0700X · Licence 44SC06155400 (NJ)

Record details

NPI number1235616889
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJuly 26, 2018
Last updated in NPPESMarch 8, 2024
Certification dateMarch 8, 2024

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