Individual provider Active NPI

Danielle Marie Loguidice

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1912629270
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
130409
Practice address
PO Box 880255
San Diego, CA 92168-0255
Phone
(619) 742-7481
NPI assigned
Sep 14, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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 130409 Primary

Addresses

Primary practice location

PO Box 880255
San Diego, CA 92168-0255

Mailing address

PO Box 880255
San Diego, CA 92168-0255
Phone (619) 742-7481

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251119001517 CA Practitioner - Clinical Social Worker 5991296733 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2261 Market St
San Francisco, CA 94114-1612

402 W Broadway
Suite 400
San Diego, CA 92101-3554

66 E Flagler St
Miami, FL 33130-1807

PO Box
Suite 880255
San Diego, CA 92168

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
130409CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Brightside Medical, P.C. CurrentSince Nov 1, 2025 Accepting new patients
State of California Prison Industry Authority PastSince Apr 1, 2023 Accepting new patients
Danielle Loguidice Licensed Clinical Social Worker Professional Corporation Clinical PastSince Jun 3, 2025 Accepting new patients

Locations

2029 Century Park E
Ste 400
Los Angeles, CA 90067
Phone (213) 463-6426

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1912629270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 880255",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921680255",
            "telephone_number": "619-742-7481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 880255",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921680255",
            "telephone_number": "619-742-7481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGUIDICE",
        "first_name": "DANIELLE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-14",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "130409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.