Sobeira A Guillen, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R069912-1 Issued in NY

Practice address

800 GRND Concrs FRNT Office5
Bronx, NY 10451-3003

Phone

(551) 574-3699

Fax

(718) 401-2322

NPI assigned

Jun 13, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Siani Consultants, LLC

  • Community/Behavioral Health Agency
  • Bronx, NY
  • NPI 1376703256
  NPD (past) Authorized official
• R Guillen MD PC

  • Primary Care Clinic/Center
  • Bronx, NY
  • NPI 1467612499
  NPD

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1013177997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 GRAND CONCOURSE FRNT OFFICE5",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104513003",
            "telephone_number": "551-574-3699",
            "fax_number": "718-401-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 GRND CONCRS FRNT OFFICE5",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104513003",
            "telephone_number": "551-574-3699",
            "fax_number": "718-401-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILLEN",
        "first_name": "SOBEIRA",
        "middle_name": "A",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-13",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05358000",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R069912-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03062159",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Liz Guillen
• Marcelino Guillen, LCSW
• Marlene Giovanna Guillen, LPN
• Rafael A. Guillen, M.D.
• Roxanne Guillen, REGISTERED NURSE
• Conair Guilliames, M.D.
• Clementine Guinet
• Tamika Guinyard
• Soliman Aziz Soliman Guirges, DO
• David Guirguis, MD

• Clinical Social Worker in Bronx, NY
• Providers in Bronx, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.