Active NPIIndividual provider

Mrs. Maryellen Guadagno, LCSW

Social Worker, Clinical in Hainesport, New Jersey

NPI Number1336254895
Practice location
1289 Route 38 West, Suite 101, Hainesport, NJ 08036
Fax
—
Last updated
October 17, 2012

Maryellen Guadagno is a Social Worker, Clinical based in Hainesport, NJ. Maryellen Guadagno practices in Hainesport, NJ and has the professional credentials of LCSW. The NPI Number for Maryellen Guadagno is 1336254895 and holds a License No. 072487 (NY). The current practice location address for Maryellen Guadagno is 1289 Route 38 West, Suite 101, Hainesport, NJ 08036 and can be reached out via phone at 609-267-1377.

Provider Profile Details

NPI Number
1336254895
Provider Name
Maryellen Guadagno
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
1289 Route 38 West, Suite 101, Hainesport, NJ 08036
Phone Number
609-267-1377
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Other Names
Ms. Mary Ellen Pastor, LCSW (Former Name)
Provider Enumeration Date
August 21, 2006
Last Update Date
October 17, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
1289 Route 38 West
Suite 101
Hainesport, NJ 08036
Zip
08036
Phone Number
609-267-1377
Hainesport, NJ 08036Get directions →

Provider Business Mailing Address Details

Address
1289 Route 38 West
Suite 101
Hainesport, NJ 08036
City
Hainesport
State
NJ
Zip
08036
Phone Number
609-261-3330
Fax Number
609-265-1064

License Information

License Number (1)
072487
License State (1)
NY
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
44SC05443400
License State (2)
NJ
Taxonomy (2)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Maryellen Guadagno, LCSW?

The NPI number of Mrs. Maryellen Guadagno, LCSW is 1336254895. It was assigned on August 21, 2006 and is currently active in the NPPES registry.

What is the specialty of Mrs. Maryellen Guadagno, LCSW?

Mrs. Maryellen Guadagno, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NY under license number 072487.

Where does Mrs. Maryellen Guadagno, LCSW practice?

The practice location is 1289 Route 38 West, Suite 101, Hainesport, NJ 08036. The office can be reached at 609-267-1377 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1336254895 directly on the NPPES registry website.

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