Active NPI
Life Guidance Associates
- Clinical Social Worker
- Paoli, PA
National Provider Identifier
1285075549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW014460
- Legal business name
- LIFE GUIDANCE ASSOCIATES
- Practice address
- 43 Leopard Rd
Building 2, Suite 203
Paoli, PA 19301-1552 - Phone
- (484) 257-0181
- NPI assigned
- Jul 15, 2013
- Last updated
- Jul 15, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Staci Connolly, LCSW
- Title
- Owner
- Phone
- (484) 527-0181
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW014460 | PA | Primary |
Addresses
Primary practice location
43 Leopard Rd
Building 2, Suite 203
Paoli, PA 19301-1552
Mailing address
43 Leopard Rd
Building 2, Suite 203
Paoli, PA 19301-1552
National Provider Directory
National Provider DirectoryLocations
43 Leopard Rd
Ste 203
Paoli, PA 19301
Phone (215) 282-3004
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373846400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1373846400000",
"number": "1285075549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 LEOPARD RD",
"address_2": "BUILDING 2, SUITE 203",
"city": "PAOLI",
"state": "PA",
"postal_code": "193011552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 LEOPARD RD",
"address_2": "BUILDING 2, SUITE 203",
"city": "PAOLI",
"state": "PA",
"postal_code": "193011552",
"telephone_number": "484-257-0181"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE GUIDANCE ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-15",
"last_updated": "2013-07-15",
"status": "A",
"authorized_official_last_name": "CONNOLLY",
"authorized_official_first_name": "STACI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "484-527-0181",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW014460",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paoli, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.