Kerrye Deeann Guerra, LMSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801115300 Issued in MI

Practice address

28475 Greenfield Rd Ste 113
Southfield, MI 48076-3034

Phone

(248) 962-3329

NPI assigned

Dec 9, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kerrye Deeann Petrik Former name

Medicare fee-for-service enrollment

Enrolled in MI

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

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.

• Paradigm Behavioral Health Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Bay City, MI
  • NPI 1316674526
  Medicare reassignment NPD
• Saginaw Cooperative Hospitals, Inc

  • Internal Medicine Physician
  • Saginaw, MI
  • NPI 1346344991
  Medicare reassignment NPD
• Saginaw Cooperative Hospital Inc

  • Hospitalist Physician
  • Saginaw, MI
  • NPI 1548877434
  NPD
• Saginaw Cooperative Hospitals, Inc

  • Obstetrics & Gynecology Physician
  • Saginaw, MI
  • NPI 1558376962
  NPD
• Hive Wellness Collective LLC

  • Clinical Social Worker
  • Okemos, MI
  • NPI 1730813239
  NPD (past)
• Home Rooted Therapy LLC

  • Clinical Social Worker
  • Bay City, MI
  • NPI 1659122026
  NPD (past)

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

{
    "created_epoch": "1670544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1174234231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 HOUGHTON AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486025303",
            "telephone_number": "989-558-6425",
            "fax_number": "989-746-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28475 GREENFIELD RD STE 113",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480763034",
            "telephone_number": "248-962-3329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "122 Uptown Dr Ste 11",
            "address_purpose": "LOCATION",
            "city": "Bay City",
            "state": "MI",
            "postal_code": "487085617",
            "country_code": "US",
            "telephone_number": "989-573-5043",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Houghton Ave",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486025303",
            "country_code": "US",
            "telephone_number": "989-746-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUERRA",
        "first_name": "KERRYE",
        "middle_name": "DEEANN",
        "credential": "LMSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-09",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801115300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERRYE",
            "last_name": "PETRIK",
            "middle_name": "DEEANN",
            "credential": "LMSW-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Guardian Medical Monitoring, LLC
• Guardianship Network, Inc
• Spurthi Gubbala
• Karina Guernsey
• Jose Daniel Guerra Toro
• Nicole Guerrero
• Stephany Lizeth Guevara Salazar
• Guided Care Center
• Karah Guilbault
• Jacob Logan Guimond, DO

• Clinical Social Worker in Southfield, MI
• Providers in Southfield, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.