Individual provider Active NPI

Nicole M Guessford, LCSW

  • Clinical Social Worker
  • Telford, PA
National Provider Identifier
1649881244
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW015210 Issued in PA
Practice address
820 Evergreen Cir
Telford, PA 18969-2617
Phone
(215) 650-7408
NPI assigned
Aug 17, 2020
Last updated
Mar 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW015210 PA Primary
Clinical Social Worker 1041C0700X 0904014683 VA

Addresses

Primary practice location

820 Evergreen Cir
Telford, PA 18969-2617

Mailing address

820 Evergreen Cir
Telford, PA 18969-2617
Phone (215) 650-7408

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20241002001595 PA Practitioner - Clinical Social Worker 0547791493 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW015210PAMDClinical Social Worker
0904014683VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Uplift Behavioral Health PC Clinical CurrentSince Jul 29, 2024 Accepting new patients
Shine Medical Providers PC Past Accepting new patients

Locations

2595 Interstate Dr
Ste 103
Harrisburg, PA 17110
Phone (386) 672-4222

600 N 2nd St
Harrisburg, PA 17101
Phone 2102010190204

709 N 2nd St
Ste 400
Philadelphia, PA 19123
Phone (267) 972-0365

3033 Wilson Blvd
Ste 700
Arlington, VA 22201
Phone (202) 410-5972

250 Browns Hill Ct
Midlothian, VA 23114
Phone (424) 328-6526

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1649881244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 EVERGREEN CIR",
            "city": "TELFORD",
            "state": "PA",
            "postal_code": "189692617",
            "telephone_number": "215-650-7408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 EVERGREEN CIR",
            "city": "TELFORD",
            "state": "PA",
            "postal_code": "189692617",
            "telephone_number": "215-650-7408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUESSFORD",
        "first_name": "NICOLE",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015210",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904014683",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Telford, PA

Sources for this page

Verify at the official NPI Registry.