Bethany Gugliano, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

072639 Issued in IA

Practice address

595 Ashley CT Ste 1
North Liberty, IA 52317-4758

Phone

(319) 626-2224

NPI assigned

Jan 16, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Rise Family Therapy Center LLC

  • Adolescent and Children Mental Health Clinic/Center
  • North Liberty, IA
  • NPI 1275309072
  NPD Authorized official

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

{
    "created_epoch": "1484524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1821534728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 ASHLEY CT STE 1",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523174758",
            "telephone_number": "319-626-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 ASHLEY CT STE 1",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523174758",
            "telephone_number": "319-626-2224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1030 5th Ave SE Ste 3000",
            "address_purpose": "LOCATION",
            "city": "Cedar Rapids",
            "state": "IA",
            "postal_code": "52403",
            "country_code": "US",
            "telephone_number": "319-286-4545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUGLIANO",
        "first_name": "BETHANY",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-16",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "72639",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "072639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Golden Oak Health LLC
• Daniel Blake Goldish, MD
• Jessica Graham
• Cameron Ann Graykowski
• Brandy K Greene, PHARMD, BCPS
• Anthony Haddad, DC.
• Mary Katherine Hagerty, DPT
• Kiana Hamilton
• Haden Alin Hammel, DC
• Hanger Prosthetics & Orthotics East Inc

• Clinical Social Worker in North Liberty, IA
• Providers in North Liberty, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.