Organization Active NPI

Life Guidance Associates

  • Clinical Social Worker
  • Paoli, PA
National Provider Identifier
1285075549
Registry record updated Jul 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW014460 Issued in PA
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2013

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.