Individual provider Active NPI

Elizabeth Guarnaccia, LCSW

  • Clinical Social Worker
  • Cary, NC
National Provider Identifier
1275586372
Registry record updated May 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C005366 Issued in NC
Practice address
1020 Southhill Dr Ste 300
Cary, NC 27513-8629
Phone
(919) 210-1807
NPI assigned
May 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C005366 NC Primary

Addresses

Primary practice location

1020 Southhill Dr Ste 300
Cary, NC 27513-8629

Mailing address

206 Sedgemoor Dr
Cary, NC 27513-5594
Phone (919) 210-1807

Other names 1

  • Elizabeth Ruggiero Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20080107000456 NC Practitioner - Clinical Social Worker 3375554603 Practice locations: Cary, NC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1020 Southhill Dr
Suite 300
Cary, NC 27513-8629
Phone (919) 210-1807

206 Sedgemoor Dr
Cary, NC 27513-5594

206 Sedgemoor Dr
Cary, NC 27513-8629

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C005366NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241395200000",
    "number": "1275586372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 SEDGEMOOR DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275135594",
            "telephone_number": "919-210-1807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 SOUTHHILL DR STE 300",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275138629",
            "telephone_number": "919-210-1807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUARNACCIA",
        "first_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2009-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "RUGGIERO",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.