NPI Code Details Logo

NPI 1548146780

NPI 1548146780 : GUADALUPE THING ASW : SAN BERNARDINO, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1548146780
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    GUADALUPE THING ASW
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/13/2025
-----------------------------------------------------
    Last Update Date     |    08/13/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    658 E BRIER DR STE 200 
-----------------------------------------------------
    City                 |    SAN BERNARDINO
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    92408-2847
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    909-387-5316
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    305 E VANDERBILT WAY 
-----------------------------------------------------
    City                 |    SAN BERNARDINO
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    92415-0001
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    909-388-0900
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    104100000X
-----------------------------------------------------
    Taxonomy Name        |    Social Worker
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    CA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    104100000X
-----------------------------------------------------
    Taxonomy Name        |    Social Worker
-----------------------------------------------------
    License Number       |    ASW130252
-----------------------------------------------------
    License Number State |    CA
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.