Active NPI
Marisa Guardado, LCSW
- Clinical Social Worker
- San Francisco, CA
National Provider Identifier
1396386355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 27817
- Practice address
- 1640 Valencia St Ste 2a
San Francisco, CA 94110-5040 - Phone
- (415) 225-6956
- NPI assigned
- Oct 1, 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 | 27817 | CA | Primary |
Addresses
Primary practice location
1640 Valencia St Ste 2a
San Francisco, CA 94110-5040
Mailing address
3680 17TH St Apt 4
San Francisco, CA 94114-2632
Phone (415) 225-6956
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10.0.0.232 | Medicaid | CA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | 10.0.0.232 | Health Information Exchange (HIE) |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27817 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569888000000",
"number": "1396386355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3680 17TH ST APT 4",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941142632",
"telephone_number": "415-225-6956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1640 VALENCIA ST STE 2A",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941105040",
"telephone_number": "415-225-6956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUARDADO",
"first_name": "MARISA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-01",
"last_updated": "2019-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "27817",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10.0.0.232",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "10.0.0.232",
"affiliation": "N",
"endpointDescription": "Home Office",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Documents",
"address_1": "3680 17th St Apt 4",
"city": "San Francisco",
"state": "CA",
"country_code": "US",
"postal_code": "941142632",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.