Active NPI
Victor Guajardo
- Clinical Social Worker
- Alma, MI
National Provider Identifier
1427200906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801015164
- Practice address
- 320 E Warwick Dr
Alma, MI 48801-1014 - Phone
- (989) 463-4971
- Fax
- (989) 463-6515
- NPI assigned
- Oct 16, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401004511 | MI | |
| Clinical Social Worker | 1041C0700X | 6801015164 | MI | Primary |
Addresses
Primary practice location
320 E Warwick Dr
Alma, MI 48801-1014
Mailing address
PO Box 69
Alma, MI 48801-0069
Phone (989) 463-4971
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401004511 | MI | MD | Professional Counselor |
| 6801015164 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224115200000",
"number": "1427200906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 69",
"city": "ALMA",
"state": "MI",
"postal_code": "488010069",
"telephone_number": "989-463-4971",
"fax_number": "989-463-6515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 E WARWICK DR",
"city": "ALMA",
"state": "MI",
"postal_code": "488011014",
"telephone_number": "989-463-4971",
"fax_number": "989-463-6515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUAJARDO",
"first_name": "VICTOR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-16",
"last_updated": "2008-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401004511",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801015164",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alma, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.