Active NPI
Matthew Guagliardo
- Social Worker
- Painted Post, NY
National Provider Identifier
1548087018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 3805 Meads Creek Rd
Painted Post, NY 14870-9509 - Phone
- (607) 377-5399
- NPI assigned
- Sep 25, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
3805 Meads Creek Rd
Painted Post, NY 14870-9509
Mailing address
3805 Meads Creek Rd
Painted Post, NY 14870-9509
Phone (607) 377-5399
Other practice location 1
1055 W 2nd St
Elmira, NY 14905-2126
Phone (607) 206-5969
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727222400000",
"number": "1548087018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3805 MEADS CREEK RD",
"city": "PAINTED POST",
"state": "NY",
"postal_code": "148709509",
"telephone_number": "607-377-5399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3805 MEADS CREEK RD",
"city": "PAINTED POST",
"state": "NY",
"postal_code": "148709509",
"telephone_number": "607-377-5399"
}
],
"practiceLocations": [
{
"address_1": "1055 W 2nd St",
"address_purpose": "LOCATION",
"city": "Elmira",
"state": "NY",
"postal_code": "149052126",
"country_code": "US",
"telephone_number": "607-206-5969",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUAGLIARDO",
"first_name": "MATTHEW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-09-25",
"last_updated": "2024-09-25",
"certification_date": "2024-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Painted Post, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.