Active NPI
Maria Guardado, LCSW
- Clinical Social Worker
- Killeen, TX
National Provider Identifier
1265996805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 54727
- Practice address
- 179 Gann Branch Rd
Killeen, TX 76549-3862 - Phone
- (254) 987-0405
- Fax
- (254) 200-4486
- NPI assigned
- Jan 28, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 54727 | TX | Primary |
Addresses
Primary practice location
179 Gann Branch Rd
Killeen, TX 76549-3862
Mailing address
179 Gann Branch Rd
Killeen, TX 76549-3862
Phone (254) 987-0405
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54727 | Other | TX | TEXAS STATE BOARD OF SOCIAL WORKER EXAMINERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548633600000",
"number": "1265996805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "179 GANN BRANCH RD",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765493862",
"telephone_number": "254-987-0405",
"fax_number": "254-200-4486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "179 GANN BRANCH RD",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765493862",
"telephone_number": "254-987-0405",
"fax_number": "254-200-4486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUARDADO",
"first_name": "MARIA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-28",
"last_updated": "2019-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "54727",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS STATE BOARD OF SOCIAL WORKER EXAMINERS",
"identifier": "54727",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Killeen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.