Tonja M Gaudette, CIS
Social Worker, Clinical in Long Beach, CA. Individual provider (NPI-1).
NPI number1326367673
StatusActive
Last updated in NPPESOct 27, 2021
Details
- NPI
- 1326367673
- Entity type
- Individual (NPI-1)
- Name
- Tonja M Gaudette
- Credential
- CIS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 26, 2010
- Certification date
- Oct 27, 2021
- Last updated
- Oct 27, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LCS68947 | CA | Yes |
| 225400000X | Rehabilitation Practitioner | – | – |
Other names
- Tonja Becwar (Other Name)
Practice location
6060 Paramount BlvdLong Beach, CA 90805
Phone 562-634-9534 · Fax 562-790-1867
Mailing address
36 La Mirage CirAliso Viejo, CA 92656
Phone 714-296-3403
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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