Provider Demographics
NPI:1861975047
Name:TAPIA, GUADALUPE G (LCSW)
Entity type:Individual
Prefix:MS
First Name:GUADALUPE
Middle Name:G
Last Name:TAPIA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1143 E 4TH ST
Mailing Address - Street 2:
Mailing Address - City:DOUGLAS
Mailing Address - State:AZ
Mailing Address - Zip Code:85607-3313
Mailing Address - Country:US
Mailing Address - Phone:520-368-1596
Mailing Address - Fax:
Practice Address - Street 1:1701 N DOUGLAS AVE
Practice Address - Street 2:
Practice Address - City:DOUGLAS
Practice Address - State:AZ
Practice Address - Zip Code:85607-1019
Practice Address - Country:US
Practice Address - Phone:520-366-3133
Practice Address - Fax:520-364-2770
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-13
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW-208401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical