Luz Divina Estrella Guzman

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW15596 Issued in FL

Practice address

890 Georgia Ave
Longwood, FL 32750-4429

Phone

(240) 412-5678

NPI assigned

Mar 14, 2019

Last updated

Jun 29, 2023By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical

  NPD

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

{
    "created_epoch": "1552521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1073072518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 GEORGIA AVE",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504429",
            "telephone_number": "240-412-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 GEORGIA AVE",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504429",
            "telephone_number": "240-412-5678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRELLA GUZMAN",
        "first_name": "LUZ",
        "middle_name": "DIVINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-14",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW15596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Encarnacion
• Encompass Behavior and Wellness Services,LLC
• Enrique Escoto
• Mitra Esfahani Zadeh
• Heather Marie Esteban
• Katelyn Evans
• Madison Everill
• Evolve Hydration and Wellness LLC
• Evolve Speacialty Infusion PLLC
• Excel Elite Labs LLC

• Clinical Social Worker in Longwood, FL
• Providers in Longwood, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.