Individual provider Active NPI

Ligia I. Guich

  • Clinical Social Worker
  • Mamaroneck, NY
National Provider Identifier
1205966215
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PO51320-1 Issued in NY
Practice address
930 Mamaroneck Ave
Mamaroneck, NY 10543-1629
Phone
(914) 381-6110
Fax
(914) 381-6964
NPI assigned
Mar 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X PO51320-1 NY Primary

Addresses

Primary practice location

930 Mamaroneck Ave
Mamaroneck, NY 10543-1629

Mailing address

12 Douglas Dr
Katonah, NY 10536-1728
Phone (914) 381-6110

Other identifiers 1

IdentifierTypeStateIssuer
PO51320-1OtherNYNY STATE LCSW LICENSE

Other names 1

  • Ligia I. Herrera Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO51320-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205966215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 DOUGLAS DR",
            "city": "KATONAH",
            "state": "NY",
            "postal_code": "105361728",
            "telephone_number": "914-381-6110",
            "fax_number": "914-381-6964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 MAMARONECK AVE",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105431629",
            "telephone_number": "914-381-6110",
            "fax_number": "914-381-6964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUICH",
        "first_name": "LIGIA",
        "middle_name": "I.",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PO51320-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE LCSW LICENSE",
            "identifier": "PO51320-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIGIA",
            "last_name": "HERRERA",
            "middle_name": "I.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mamaroneck, NY

Sources for this page

  • 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.