Active NPI
Javonne N. Gwinn, ASW
- Social Worker
- San Francisco, CA
National Provider Identifier
1609201607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- ASW36974
- Practice address
- 450 Guerrero St
San Francisco, CA 94110-1015 - Phone
- (415) 503-1735
- Fax
- (415) 520-0838
- NPI assigned
- Sep 9, 2013
- Sex
- Female
- 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 | ASW36974 | CA | Primary |
Addresses
Primary practice location
450 Guerrero St
San Francisco, CA 94110-1015
Mailing address
450 Guerrero St
San Francisco, CA 94110-1015
Phone (415) 503-1735
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
| License | State | Type | Specialty |
|---|---|---|---|
| ASW36974 | CA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boys & Girls Clubs of San Francisco | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- San Francisco, CA
- NPI 1154464667
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379894400000",
"number": "1609201607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 GUERRERO ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941101015",
"telephone_number": "415-503-1735",
"fax_number": "415-520-0838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 GUERRERO ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941101015",
"telephone_number": "415-503-1735",
"fax_number": "415-520-0838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GWINN",
"first_name": "JAVONNE",
"middle_name": "N.",
"name_prefix": "Mrs.",
"credential": "ASW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-09",
"last_updated": "2013-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ASW36974",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.