Active NPI
Juanita Maria Angelica Guevara, LCSW
- Clinical Social Worker
- Rancho Cucamonga, CA
National Provider Identifier
1316218266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW83320
- Practice address
- 7365 Carnellan St.
Ste. 202
Rancho Cucamonga, CA 91730-1158 - Phone
- (909) 758-7275
- Fax
- (877) 850-5695
- NPI assigned
- Jan 24, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW83320 | CA | Primary |
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
7365 Carnellan St.
Ste. 202
Rancho Cucamonga, CA 91730-1158
Mailing address
7365 Carnellan St.
Ste. 202
Rancho Cucamonga, CA 91730-1158
Phone (909) 758-7275
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW83320 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Merrell Family Counseling, Inc. | Current | Accepting new patients |
Locations
7365 Carnelian St
Ste 202
Rancho Cucamonga, CA 91730
Phone (909) 281-1557
Organizations & group practices 1
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.
-
- Marriage & Family Therapist
- Rancho Cucamonga, CA
- NPI 1861938722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604534400000",
"number": "1316218266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7365 CARNELLAN ST.",
"address_2": "STE. 202",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917301158",
"telephone_number": "909-758-7275",
"fax_number": "877-850-5695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7365 CARNELLAN ST.",
"address_2": "STE. 202",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917301158",
"telephone_number": "909-758-7275",
"fax_number": "877-850-5695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUEVARA",
"first_name": "JUANITA",
"middle_name": "MARIA ANGELICA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-24",
"last_updated": "2020-11-05",
"certification_date": "2020-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW83320",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.