Individual provider Active NPI

Tonnie Guagenti, LISW-S

  • Clinical Social Worker
  • Chillicothe, OH
National Provider Identifier
1104075027
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1-0007920.SUPV Issued in OH
Practice address
4449 State Route 159
Chillicothe, OH 45601-8620
Phone
(740) 775-1260
Fax
(740) 773-8322
NPI assigned
Sep 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I-0007920.SUPV OH
Clinical Social Worker 1041C0700X 1-0007920.SUPV OH Primary

Addresses

Primary practice location

4449 State Route 159
Chillicothe, OH 45601-8620

Mailing address

PO Box 6179
4449 State Route 159
Chillicothe, OH 45601-8620
Phone (740) 775-1260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191212001418 OH Practitioner - Clinical Social Worker 9739512302 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scioto Paint Valley Mental Health CenterGroup PAC ID 7315832532, 30 clinicians

Practice addresses (Care Compare)

4449 State Route 159
Chillicothe, OH 45601-8620
Phone (740) 772-7909

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-0007920.SUPVOHMDClinical Social Worker
I-0007920.SUPVOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Scioto Paint Valley Mental Health Center CurrentSince Nov 18, 2019 Accepting new patients
Scioto Paint Valley Mental Health Center CurrentSince Nov 18, 2019 Accepting new patients

Locations

4449 State Route 159
Chillicothe, OH 45601
Phone (740) 772-7892

1300 E Paint St
Wshngtn Ct Hs, OH 43160
Phone (740) 335-6935

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/spvmhc/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1104075027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6179",
            "address_2": "4449 STATE ROUTE 159",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456018620",
            "telephone_number": "740-775-1260",
            "fax_number": "740-773-1264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4449 STATE ROUTE 159",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456018620",
            "telephone_number": "740-775-1260",
            "fax_number": "740-773-8322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUAGENTI",
        "first_name": "TONNIE",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-16",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I-0007920.SUPV",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "1-0007920.SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chillicothe, OH

Sources for this page

Verify at the official NPI Registry.