Individual provider Active NPI

Deborah Guariguata, LCSW-ACP

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1467627646
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10639 Issued in TX
Practice address
1015 Beecave Woods Dr
Austin, TX 78746-6762
Phone
(512) 328-3379
Fax
(512) 328-1747
NPI assigned
Apr 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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 10639 TX Primary

Addresses

Primary practice location

1015 Beecave Woods Dr
Austin, TX 78746-6762

Mailing address

1015 Beecave Woods Dr
Austin, TX 78746-6762
Phone (512) 328-3379

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

LicenseStateTypeSpecialty
10639TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209340800000",
    "number": "1467627646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 BEECAVE WOODS DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787466762",
            "telephone_number": "512-328-3379",
            "fax_number": "512-328-1747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 BEECAVE WOODS DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787466762",
            "telephone_number": "512-328-3379",
            "fax_number": "512-328-1747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUARIGUATA",
        "first_name": "DEBORAH",
        "credential": "LCSW-ACP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "10639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.

Verify at the official NPI Registry.