Individual provider Active NPI

Amy Gene Guido, MSW, LCSW

  • Clinical Social Worker
  • Phoenix, AZ
National Provider Identifier
1619454477
Registry record updated Jul 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2681I Issued in AZ
Practice address
301 E Bethany Home Rd Ste C296
Phoenix, AZ 85012-1271
Phone
(602) 743-5299
NPI assigned
Jul 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 2681I AZ
Clinical Social Worker 1041C0700X 2681I AZ Primary

Addresses

Primary practice location

301 E Bethany Home Rd Ste C296
Phoenix, AZ 85012-1271

Mailing address

2544 E Georgia Ave
Phoenix, AZ 85016-3617
Phone (602) 743-5299

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
2681IAZMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532476800000",
    "number": "1619454477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2544 E GEORGIA AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163617",
            "telephone_number": "602-743-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E BETHANY HOME RD STE C296",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121271",
            "telephone_number": "602-743-5299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUIDO",
        "first_name": "AMY",
        "middle_name": "GENE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-25",
        "last_updated": "2018-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "2681I",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "2681I",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; 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.