Innovative Guidance, LLC.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

INNOVATIVE GUIDANCE, LLC.

Practice address

635 Monongahela Ave
Glassport, PA 15045-1607

Phone

(412) 945-0745

Fax

(412) 290-7650

NPI assigned

Oct 31, 2023

Organization subpart

No

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

Authorized official

Name

Isaiah Gwinn, LCSW

Title

Owner

Phone

(412) 945-0745

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jillian Zabrina Zaracki, MSW, LSW

  • Social Worker
  • Glassport, PA
  • NPI 1124823117
  NPD

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

{
    "created_epoch": "1698710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1669245981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 7TH ST",
            "city": "GLASSPORT",
            "state": "PA",
            "postal_code": "150451614",
            "telephone_number": "412-945-0745",
            "fax_number": "412-290-7650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 MONONGAHELA AVE",
            "city": "GLASSPORT",
            "state": "PA",
            "postal_code": "150451607",
            "telephone_number": "412-945-0745",
            "fax_number": "412-290-7650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE GUIDANCE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-31",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "GWINN",
        "authorized_official_first_name": "ISAIAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-945-0745",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glassport Pharmacy LLC (Medicine Stop)
• William Goldberg, RPH
• Isaiah Gwinn, LCSW
• Heuer House
• Lauren Marie Hickman
• Shaquese Kelley
• Helen Nelson
• Daniel Ngokion, LCSW
• Resources for Human Development, Inc. (LTSR)
• Kathleen Walsh Reyes, D.O.

• Clinical Social Worker in Glassport, PA
• Providers in Glassport, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.