Individual provider Active NPI

Guadalupe Larios-Garcia, LCSW

  • Clinical Social Worker
  • Modesto, CA
National Provider Identifier
1467889410
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW79094 Issued in CA
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

Updated by the provider on Nov 13, 2023

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 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

IdentifierTypeStateIssuer
207P89T6MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
LCSW79094CAMDClinical Social Worker
79094CAMDPharmacist

Interoperability endpoints

  • Direct secure messaging: 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

Verify at the official NPI Registry.