Nancy Guadagno LCSW Csac LLC

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

NANCY GUADAGNO LCSW CSAC LLC

Practice address

6123 Green Bay Rd Ste 240
Kenosha, WI 53142-2927

Phone

(262) 564-5305

Fax

(262) 564-5306

NPI assigned

Feb 18, 2018

Last updated

Oct 8, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nancy Guadagno, LCSW CSACNPI 1275959157

Title

Sole Provider

Phone

(262) 652-7193

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nancy Guadagno

  • Mental Health Counselor
  • Kenosha, WI
  • NPI 1275959157
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1518912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570492800000",
    "number": "1245730019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6123 GREEN BAY RD STE 240",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531422927",
            "telephone_number": "262-564-5305",
            "fax_number": "262-564-5306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6123 GREEN BAY RD STE 240",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531422927",
            "telephone_number": "262-564-5305",
            "fax_number": "262-564-5306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY GUADAGNO LCSW CSAC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-18",
        "last_updated": "2019-10-08",
        "status": "A",
        "authorized_official_last_name": "GUADAGNO",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "SOLE PROVIDER",
        "authorized_official_telephone_number": "262-652-7193",
        "authorized_official_credential": "LCSW CSAC"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Rummel Nader, LCSW
• Neda Naderi
• Suresh R Naik, MD
• Adam Naker
• Sushant M Nanavati, M.D.
• Dragos G Nanul, MD
• Monica D Nanul, LPC
• Narayan Baliga, M.D., S.C.
• Norma Nava, RN
• Kishwar Naz, M.D.

• Social Worker in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.