=====================================================
General NPI Number Information
=====================================================
NPI Number | 1649058389
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CAITRIN LOUISE GUILEY
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/14/2023
-----------------------------------------------------
Last Update Date | 10/14/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 204 HAMPTON DR
-----------------------------------------------------
City | VENICE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90291-8633
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 626-292-8554
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 204 HAMPTON DR
-----------------------------------------------------
City | VENICE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90291-8633
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 626-292-8554
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | 132029
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------