MR. DAVID GUARDIOLA (NPI# 1376829986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376829986 |
| Entity Type | Individual |
| Full Name | MR. DAVID GUARDIOLA |
| Credential | MSW, LISW |
| Practice Address |
1235 Carbon St Fremont OH 43420-1727 |
| Practice Telephone | 4196800172 |
| Practice Fax Number | 4193551969 |
| Mailing Telephone | 4196800172 |
| Mailing Fax Number | 4193551969 |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2012-09-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
I1101260 | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAQH | 12315045 | 01 | |
| NPI | 1376829986 | 01 |
| Street Address |
1235 CARBON ST |
| City | FREMONT |
| State | OH |
| Zip Code | 43420-1727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225596570 | Trisha D Hamm | Nurse Practitioner | Walk In Urgent Care, 2180 Sean Dr., #6b, Fremont, OH 43420 | 2019-03-06 |
| 1558886051 | Kortney Blair Potridge | Homemaker | 1718 Buckland Avenue, Fremont, OH 43420 | 2017-08-07 |
| 1699134015 | Gentle Caring Dentistry of Fremont Ohio | Dentist | 2430 Enterprise St, Fremont, OH 43420 | 2016-02-12 |
| 1033574587 | Alyssa Dickman | Physical Therapy Assistant | 1310 Chestnut St, Fremont, OH 43420 | 2015-12-29 |
| 1437566734 | Michael Allen Koebel | Registered Nurse | 1728 Oak Harbor Rd, Fremont, OH 43420 | 2014-07-18 |
| 1598183774 | Harry D. Burger | Dentist | 567 Bartson Rd., Fremont, OH 43420 | 2014-04-03 |
| 1750706636 | Lori Fisher | Registered Nurse | 500 W. State St., Suite A, Fremont, OH 43420 | 2014-02-28 |
| 1699113001 | Cora Renea Minich | Massage Therapist | 510 Court Street, Fremont, OH 43420 | 2013-06-07 |
| 1477850071 | Parschauer Eye Center Inc | Eyewear Supplier (Equipment, not the service) | 126 S. Front St, Fremont, OH 43420 | 2011-02-16 |
| 1316260839 | Marla D Carlisle | Physician Assistant | 605 Third Avenue, Suite B, Fremont, OH 43420 | 2010-03-11 |
| Find all providers in zip 43420 | ||||
| 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 |
|---|---|---|---|---|
| 1023617800 | Lauren Ashlei Pina | Social Worker | 39119 Liberty Street, Building B Room 118 Fre-122-sw, Fremont, CA 94538-1510 | 2020-10-22 |
| 1275163776 | Michelle Rene Petz | Social Worker | 25 W Main St Ste B, Fremont, MI 49412-1186 | 2020-01-23 |
| 1124594098 | Natasha Kharbanda | Social Worker | 4452 Sloat Rd, Fremont, CA 94538-1232 | 2018-10-18 |
| 1952899411 | Suzanne Vargas | Social Worker | 41224 Vargas Rd, Fremont, CA 94539-5442 | 2018-04-30 |
| 1497136410 | James Yon | Social Worker | 3682 S Maple Island Rd, Fremont, MI 49412 | 2015-06-16 |
| 1508282179 | Maitrayee Baksi-banerjee | Social Worker | 338 Stonebridge Dr, Fremont, CA 94536-1590 | 2014-03-06 |
| 1689097057 | Robin E Neville | Social Worker | 3607 Main Street B, Fremont, CA 94538 | 2014-01-21 |
| 1023443926 | Leilei Yuan | Social Worker | 39111 Paseo Padre Pkwy Ste 203e, Fremont, CA 94538-1694 | 2013-09-10 |
| 1003168220 | Tina Howerton | Social Worker | 3607 Main St Ste A, Fremont, CA 94538-4390 | 2012-10-11 |
| 1033414925 | Children & Family Counseling LLC | Social Worker | 515 N D St, Fremont, NE 68025-5051 | 2011-01-24 |
| Find all providers in FREMONT | ||||
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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.