Gavin K Madeira, LCSW is a
Social Worker - Clinical based in Vista, California. Gavin K Madeira is licensed to practice in California (license number 123910) and his current practice location is
550 W Vista Way, Vista, California. He can be reached at his office (for appointments etc.) via phone at
(760) 758-1092.
NPI number for Gavin K Madeira is 1780248609 and his current mailing address is 4856 Sumac Pl, Oceanside, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1780248609.
Healthcare Provider's Profile
| Full Name | Gavin K Madeira |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 550 W Vista Way, Vista, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1780248609
- Provider Enumeration Date: 04/25/2019
- Last Update Date: 06/11/2025
Medical Identifiers
Medical identifiers for Gavin K Madeira such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780248609 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 97560 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 123910 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gavin K Madeira is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Gavin K Madeira, LCSW
4856 Sumac Pl,
Oceanside, CA 92057-5423
Ph: (760) 390-2508 | Gavin K Madeira, LCSW
550 W Vista Way,
Vista, CA 92083-5732
Ph: (760) 758-1092 |
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