Individual provider Active NPI

Marilyn G Guidotti, LICENSED INDEPENDENT

  • Clinical Social Worker
  • Akron, OH
National Provider Identifier
1861686925
Registry record updated Aug 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I1607 Issued in OH
Practice address
565 South Cleveland Massillon Rd
Akron, OH 44333-3019
Phone
(330) 665-2227
Fax
(330) 665-2228
NPI assigned
Aug 31, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I1607 OH Primary

Addresses

Primary practice location

565 South Cleveland Massillon Rd
Akron, OH 44333-3019

Mailing address

822 Kirkwall Drive
Copley, OH 44321-1761
Phone (330) 666-3317

Other names 1

  • Miss Marilyn Irene Guidotti Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
I1607OHMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188518400000",
    "number": "1861686925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 KIRKWALL DRIVE",
            "city": "COPLEY",
            "state": "OH",
            "postal_code": "443211761",
            "telephone_number": "330-666-3317",
            "fax_number": "330-665-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 SOUTH CLEVELAND MASSILLON RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443333019",
            "telephone_number": "330-665-2227",
            "fax_number": "330-665-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUIDOTTI",
        "first_name": "MARILYN",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "credential": "LICENSED INDEPENDENT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-31",
        "last_updated": "2007-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I1607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARILYN",
            "last_name": "GUIDOTTI",
            "middle_name": "IRENE",
            "prefix": "MISS",
            "credential": "LISW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; 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.