Provider Demographics
NPI:1992353684
Name:AUGUSTE, GIGI-JOY WELGUINE (LCSW)
Entity type:Individual
Prefix:
First Name:GIGI-JOY
Middle Name:WELGUINE
Last Name:AUGUSTE
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 1:155 E CAMBELL AVE
Mailing Address - Street 2:206
Mailing Address - City:CAMPBELL
Mailing Address - State:CA
Mailing Address - Zip Code:95008-1756
Mailing Address - Country:US
Mailing Address - Phone:408-596-9761
Mailing Address - Fax:
Practice Address - Street 1:155 E CAMPBELL AVE
Practice Address - Street 2:
Practice Address - City:CAMPBELL
Practice Address - State:CA
Practice Address - Zip Code:95008-2063
Practice Address - Country:US
Practice Address - Phone:408-596-9761
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-27
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW193541041C0700X
CA1136241041C0700X
1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical