Provider Demographics
NPI:1326139569
Name:GUISTINO, FRANK NICHOLAS (LISW)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:NICHOLAS
Last Name:GUISTINO
Suffix:
Gender:M
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:340 S BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44308-1529
Mailing Address - Country:US
Mailing Address - Phone:330-253-3100
Mailing Address - Fax:330-253-5248
Practice Address - Street 1:340 S BROADWAY ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44308-1529
Practice Address - Country:US
Practice Address - Phone:330-253-3100
Practice Address - Fax:330-253-5248
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI4076104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000291207OtherANTHEM
OHP00068908OtherRAILROAD MEDICARE
OH233287OtherCOMPSYCH
OH311814468029OtherCARESOURCE
OH$$$$$$$$$002OtherMEDICAL MUTUAL
OH$$$$$$$$$00OtherOHIO BWC
OHSW22215Medicare ID - Type Unspecified
OHP026249Medicare UPIN
OH$$$$$$$$$002OtherMEDICAL MUTUAL
OH311814468029OtherCARESOURCE