Organization Active NPI

Danielle Loguidice Licensed Clinical Social Worker Professional Corporation

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1700702545
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
DANIELLE LOGUIDICE LICENSED CLINICAL SOCIAL WORKER PROFESSIONAL CORPORATION
Practice address
630 1St Ave # 491
San Diego, CA 92101-6976
Phone
(619) 742-7481
Fax
(858) 742-3396
NPI assigned
Jun 25, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Authorized official

Name
Danielle Loguidice, LCSWNPI 1912629270
Title
Provider/Owner
Phone
(619) 742-7481

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X

Addresses

Primary practice location

630 1St Ave # 491
San Diego, CA 92101-6976

Mailing address

630 1St Ave # 491
San Diego, CA 92101-6976
Phone (619) 742-7481

Other identifiers 1

IdentifierTypeStateIssuer
1912629270MedicaidCA

National Provider Directory

National Provider Directory

Locations

811 25th St
Ste 102
San Diego, CA 92102

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1782345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788393600000",
    "number": "1700702545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 1ST AVE # 491",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921016976",
            "telephone_number": "619-742-7481",
            "fax_number": "858-742-3396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 1ST AVE # 491",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921016976",
            "telephone_number": "619-742-7481",
            "fax_number": "858-742-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIELLE LOGUIDICE LICENSED CLINICAL SOCIAL WORKER PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-25",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A",
        "authorized_official_last_name": "LOGUIDICE",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "619-742-7481",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912629270",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; 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.