MEDICARE: REGINA GUTHRIE FARIDNIA LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	4526	LA
2	1041C0700X	Clinical Social Worker	26712	CA

General Provider Information

NPI Number	:	1023318045
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REGINA GUTHRIE FARIDNIA LCSW

Provider Business Mailing Address
First Line	:	12120 HERDAL DR., AUBURN, CA. 95603
Second Line	:
City	:	AUBURN
State	:	CA
Zip	:	95603
Country	:	US
Telephone Number	:	408-460-5030
Fax Number	:

Provider Business Practice Location Address
First Line	:	12120 HERDAL DR
Second Line	:
City	:	AUBURN
State	:	CA
Zip	:	95603-5637
Country	:	US
Telephone Number	:	408-460-5030
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/25/2010
Last Update Date	:	03/20/2026

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