Ileana Guzman, LCSW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C-11745 Issued in NM

Practice address

301 Bulldog Blvd
Artesia, NM 88210-1731

Phone

(575) 808-9520

NPI assigned

Sep 4, 2015

Last updated

Nov 30, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1441324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1295103497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 DIANE ST",
            "city": "ARTESIA",
            "state": "NM",
            "postal_code": "882109229",
            "telephone_number": "575-808-9520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 BULLDOG BLVD",
            "city": "ARTESIA",
            "state": "NM",
            "postal_code": "882101731",
            "telephone_number": "575-808-9520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN",
        "first_name": "ILEANA",
        "credential": "LCSW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-04",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-11745",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NM",
            "license": "X-09269",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grammy's House Artesia Domestic Violence Shelter Inc.
• Janet M. Grittini, SCHOOL PSYCHOLOGIST
• Angelica Guin, RN
• Katelyn Ann Gunn
• Stephanie Flinko Gutierrez, SLP
• Heather L Hall, RBT
• Kristy Lynn Hamilton, SLP
• Kelli Susan Hammond, RN
• Vanessa Joy Harvey, MS CCC-SLP
• Ranae Deanne Havens-Blackerby

• Clinical Social Worker in Artesia, NM
• Providers in Artesia, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.