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

MS. Stephanie R Gaxiola, MSW, LCSW, LICSW, MP

Individual provider Clinical Social Worker · NPI 1295004091

MS. Stephanie R Gaxiola, MSW, LCSW, LICSW, MP is a Clinical Social Worker in Encino, California. Practices as a sole proprietor. Licensed in Illinois and Massachusetts.

Licensed in
IL, MA
In the registry since
2011
Specialties on file
2
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

16710 Ventura Blvd #403
Encino, CA 91436-1713
Phone: (415) 694-8465
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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 114657 (MA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 149012192 (IL)

Record details

NPI number1295004091
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LCSW , LICSW , MP
Sole proprietorYes
NPI enumeratedDecember 22, 2011
Last updated in NPPESDecember 22, 2011

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