LIFE GUIDANCE ASSOCIATES (NPI# 1285075549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285075549 |
| Entity Type | Organization |
| Organization Name | LIFE GUIDANCE ASSOCIATES |
| Practice Address |
43 Leopard Rd Building 2, Suite 203 Paoli PA 19301-1552 |
| Practice Telephone | 4842570181 |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2013-07-15 |
| Authorized Official Name | STACI CONNOLLY (OWNER) |
| Authorized Official Telephone | 4845270181 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CW014460 | PA | Behavioral Health & Social Service Providers |
| Street Address |
43 LEOPARD RD BUILDING 2, SUITE 203 |
| City | PAOLI |
| State | PA |
| Zip Code | 19301-1552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891745923 | Maureen Morison | Psychologist | 43 Leopard Rd, Paoli Exec. Green II -ste100, Paoli, PA 19301-1552 | 2006-05-11 |
| 1578851226 | Brendali F Reis | Psychologist | 43 Leopard Rd, Paoli Executive Green II, Suite 100, Paoli, PA 19301-1552 | 2011-07-15 |
| 1710187067 | Gary Gussman Dorey-stein | Psychologist | 43 Leopard Rd, Building 2 Suite 101, Paoli, PA 19301-1552 | 2007-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588280333 | Mary Callery | Physical Therapy Assistant | 16 Industrial Blvd., Ste. 101, Paoli, PA 19301 | 2020-06-17 |
| 1871097519 | Daniel Malloy-good | Social Worker | 45 Darby Rd Ste E4, Paoli, PA 19301 | 2018-03-19 |
| 1306354774 | Patricia Obilo-azandegbe | Counselor | 30 S Valley Rd Ste 101, Paoli, PA 19301 | 2018-01-18 |
| 1275992877 | Jessica Bernard | Physical Therapist | 40 Darby Rd Ste 1, Paoli, PA 19301 | 2016-02-11 |
| 1730576364 | Ushma Sheth | Podiatrist | 250 W Lancaster Ave Ste 225, Paoli, PA 19301 | 2015-04-21 |
| 1619371432 | Miriam Leslie Brewer | Physical Therapist | 195 W Lancaster Ave #3, Paoli, PA 19301 | 2014-10-22 |
| 1447665393 | Matthew Rementer | Podiatrist | 254 West Lancaster Ave, Paoli, PA 19301 | 2014-06-29 |
| 1720490915 | Edward Anthony Romero | Surgery | 255 W Lancaster Ave Ste 332, Paoli, PA 19301 | 2014-05-22 |
| 1285053421 | Jose Ethan Pulido | Urology | 2 Industrial Blvd Bldg C Ste 120, Paoli, PA 19301 | 2014-04-15 |
| 1093065849 | Kathleen M Canfield | Physician Assistant | 11 Industrial Blvd., Ste 204, Paoli Pointe Med. Office Bldg, Paoli, PA 19301 | 2012-09-19 |
| Find all providers in zip 19301 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952885378 | Veronika Sukupova | Social Worker | 488 W Hospital Rd Ste 2, Paoli, IN 47454-8805 | 2018-09-21 |
| 1871097519 | Daniel Malloy-good | Social Worker | 45 Darby Rd Ste E4, Paoli, PA 19301 | 2018-03-19 |
| 1548698830 | Margaret Phipps | Social Worker | 252 Vincent Rd, Paoli, Paoli, PA 19301-1127 | 2013-10-23 |
| 1033341300 | Heather L. Terwiske | Social Worker | 488 W. Hospital Rd., Paoli, IN 47454 | 2009-08-19 |
| 1508046558 | Deborah Anne Massey | Social Worker | 7 West Central Avenue, Suite 2a, Paoli, PA 19301 | 2007-11-07 |
| 1205058872 | Regina Benner | Social Worker | 1440 Russell Road, Paoli, PA 19301 | 2007-05-03 |
| 1174642094 | Heather Lea Vargo | Social Worker | 183 W Lancaster Ave, Paoli, PA 19301-1740 | 2007-03-29 |
| 1518051259 | Shirley Tung | Social Worker | 45 Darby Rd, Suite E-4, Paoli, PA 19301-1475 | 2006-10-03 |
| 1609988971 | Daniel Malloy-good | Social Worker | 45 Darby Rd Ste F, Paoli, PA 19301 | 2006-08-31 |
| 1790795490 | Melissa Price | Social Worker | 946 S Ridgecrest Ln, Paoli, IN 47454 | 2006-08-08 |
| Find all providers in PAOLI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.