Active NPI
Guadalupe Larios-Garcia, LCSW
- Clinical Social Worker
- Modesto, CA
National Provider Identifier
1467889410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW79094
- Practice address
- 1604 Ford Ave Ste 1
Modesto, CA 95350-4649 - Phone
- (209) 412-6789
- NPI assigned
- Oct 6, 2013
- 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 | LCSW79094 | CA | Primary |
Addresses
Primary practice location
1604 Ford Ave Ste 1
Modesto, CA 95350-4649
Mailing address
PO Box 767
Hughson, CA 95326-0767
Phone (209) 602-9268
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 207P89T6 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171023002356 | CA | Practitioner - Clinical Social Worker | 7315213105 | Practice locations: Modesto, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1604 Ford Ave
Suite 1
Modesto, CA 95350-4649
Phone (209) 412-6789
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW79094 | CA | MD | Clinical Social Worker |
| 79094 | CA | MD | Pharmacist |
Interoperability endpoints
- guadalupe.lariosgarcia.p1@direct.cmcentersinc.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699833600000",
"number": "1467889410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 767",
"city": "HUGHSON",
"state": "CA",
"postal_code": "953260767",
"telephone_number": "209-602-9268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1604 FORD AVE STE 1",
"city": "MODESTO",
"state": "CA",
"postal_code": "953504649",
"telephone_number": "209-412-6789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARIOS-GARCIA",
"first_name": "GUADALUPE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-10-06",
"last_updated": "2023-11-13",
"certification_date": "2023-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW79094",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "207P89T6",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.