| Danielle Loguidice Licensed Clinical Social Worker Professional Corporation | |
|
811 25th St Ste 102 San Diego CA 92102-2767 | |
| (619) 742-7481 | |
| Not Available |
| Full Name | Danielle Loguidice Licensed Clinical Social Worker Professional Corporation |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 811 25th St Ste 102, San Diego, California |
| Authorized Official Name and Position | Danielle Loguidice (PROVIDER/OWNER) |
| Authorized Official Contact | 6197427481 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Danielle Loguidice Licensed Clinical Social Worker Professional Corporation Po Box 880255 San Diego CA 92168-0255 Ph: (619) 742-7481 | Danielle Loguidice Licensed Clinical Social Worker Professional Corporation 811 25th St Ste 102 San Diego CA 92102-2767 Ph: (619) 742-7481 |
| NPI Number | 1700702545 |
|---|---|
| Provider Enumeration Date | 06/25/2026 |
| Last Update Date | 06/25/2026 |
| Certification Date | 06/25/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700702545 | NPI | - | NPPES |
| 1912629270 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
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