Organization Active NPI

Guiding Light Wellness Services

  • Clinical Social Worker
  • Somers Point, NJ
National Provider Identifier
1720663552
Registry record updated Mar 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
GUIDING LIGHT WELLNESS SERVICES
Practice address
419 Bethel Rd Ste a
Somers Point, NJ 08244-2189
Phone
(609) 968-4675
Fax
(609) 904-5208
NPI assigned
Mar 12, 2021
Last updated
Mar 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2021

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

Authorized official

Name
Javier Guzman, LCSW
Title
Owner
Phone
(609) 968-4675

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

419 Bethel Rd Ste a
Somers Point, NJ 08244-2189

Mailing address

419 Bethel Rd Ste a
Somers Point, NJ 08244-2189
Phone (609) 968-4675

National Provider Directory

National Provider Directory

Locations

419 Bethel Rd
Ste A
Somers Point, NJ 08244
Phone (609) 788-4698

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615507200000",
    "number": "1720663552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 BETHEL RD STE A",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442189",
            "telephone_number": "609-968-4675",
            "fax_number": "609-904-5208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 BETHEL RD STE A",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442189",
            "telephone_number": "609-968-4675",
            "fax_number": "609-904-5208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUIDING LIGHT WELLNESS SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-12",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A",
        "authorized_official_last_name": "GUZMAN",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-968-4675",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somers Point, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; 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.