Cynthia Byron Guddal, LISW, CPRP

Primary specialty

Social WorkerTaxonomy code 104100000X

License

11772 Issued in MN

Practice address

3915 Golden Valley Rd
Courage Center
Golden Valley, MN 55422-4249

Phone

(763) 520-0378

Fax

(763) 520-0292

NPI assigned

Dec 21, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: cguddal210719@excellian.direct.allina.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198195200000",
    "number": "1003090333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3915 GOLDEN VALLEY RD",
            "address_2": "COURAGE CENTER",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224249",
            "telephone_number": "763-520-0378",
            "fax_number": "763-520-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 GOLDEN VALLEY RD",
            "address_2": "COURAGE CENTER",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224249",
            "telephone_number": "763-520-0378",
            "fax_number": "763-520-0292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUDDAL",
        "first_name": "CYNTHIA",
        "middle_name": "BYRON",
        "credential": "LISW, CPRP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-21",
        "last_updated": "2007-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "11772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nykole E. Grippe, PT
• Juli Ann Groath, D.P.T.
• Cayla Marie Groom, DPT
• Steven Jay Grosser, MD
• Guardian Hospice MN LLC
• Hina Guezmir, MD
• Guidepoint Services
• Gunther & Associates, P.a.
• Vandana Gupta, M.D.
• Sarah Catherine Gustafson-Dombeck, MA

• Social Worker in Golden Valley, MN
• Providers in Golden Valley, MN by specialty
• Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.