Sandra V. Guarise, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

1440 Renaissance Drive
Suite 200
Park Ridge, IL 60068

Phone

(773) 307-0363

NPI assigned

Oct 3, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Sandy Guarise Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003900770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 W. BIRCHWOOD AV",
            "address_2": "APT 106",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606261841",
            "telephone_number": "773-973-0363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 RENAISSANCE DRIVE",
            "address_2": "SUITE 200",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "60068",
            "telephone_number": "773-307-0363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUARISE",
        "first_name": "SANDRA",
        "middle_name": "V.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDY",
            "last_name": "GUARISE",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Candice Nicole Grudowski, M.A., CCC-SLP/L
• Betzabe Guadron
• Rui Guan
• Guardian Angel Home Care of Park Ridge
• Guardian Angel Home Care, Inc.
• Mary J Guenther, MD
• Paoula J Gueorguieva, MD
• Mary-Jennelle Guevara
• Joseph G Guidi, D.O.
• Thirumazhisai Gunasekaran

• Clinical Social Worker in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.