Provider Demographics
NPI:1093602112
Name:GAMMAD, GILBERT DANIEL (LCSW)
Entity type:Individual
Prefix:
First Name:GILBERT
Middle Name:DANIEL
Last Name:GAMMAD
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2709 IVY DR APT 6
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94606-2173
Mailing Address - Country:US
Mailing Address - Phone:707-344-8105
Mailing Address - Fax:
Practice Address - Street 1:800 FERRY ST
Practice Address - Street 2:
Practice Address - City:MARTINEZ
Practice Address - State:CA
Practice Address - Zip Code:94553-1626
Practice Address - Country:US
Practice Address - Phone:510-603-5495
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-20
Last Update Date:2025-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1285661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical