Provider Demographics
NPI:1356486310
Name:GESAS, GLORIA E (MSW)
Entity type:Individual
Prefix:
First Name:GLORIA
Middle Name:E
Last Name:GESAS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13331 MOORPARK ST
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91423-3949
Mailing Address - Country:US
Mailing Address - Phone:818-501-0153
Mailing Address - Fax:818-990-1053
Practice Address - Street 1:22622 VAN OWEN ST
Practice Address - Street 2:JEWISH FAMILY SERVICE OF LOS ANGELES SENIOR SERVICES
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307
Practice Address - Country:US
Practice Address - Phone:818-464-3338
Practice Address - Fax:818-464-3205
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS15411104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker