1164463170 NPI number — MR. FRANCIS JOHN GUARNACCIA MSW - LCSW

Table of content: MR. FRANCIS JOHN GUARNACCIA MSW - LCSW (NPI 1164463170)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1164463170 NPI number — MR. FRANCIS JOHN GUARNACCIA MSW - LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GUARNACCIA
Provider First Name:
FRANCIS
Provider Middle Name:
JOHN
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
MSW - LCSW
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
GUARNACCIA
Provider Other First Name:
FRANK
Provider Other Middle Name:
JOHN
Provider Other Name Prefix Text:
MR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MSW LCSW
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1164463170
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/01/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
255 SOUTH 17TH STREET
Provider Second Line Business Mailing Address:
SUITE 1509
Provider Business Mailing Address City Name:
PHILADELPHIA
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19103-2813
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
215-790-1071
Provider Business Mailing Address Fax Number:
215-545-5384

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
255 SOUTH 17TH STREET
Provider Second Line Business Practice Location Address:
SUITE 1509
Provider Business Practice Location Address City Name:
PHILADELPHIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19103-2813
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-790-1071
Provider Business Practice Location Address Fax Number:
215-545-5384
Provider Enumeration Date:
06/09/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 104100000X , with the licence number:  NY028180R , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1041C0700X , with the licence number: PACW000937L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1041C0700X , with the licence number: PA-CW-000937-L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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