Jacqueline Guevara, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904009490 Issued in VA

Practice address

2615 Columbia Pike Ste 260
Arlington, VA 22204-4409

Phone

(240) 392-1684

NPI assigned

Oct 12, 2017

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

Medicare enrollment (NPD)

Not 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.

• Jacqueline Guevara LLC

  • Clinical Social Worker
  • Alexandria, VA
  • NPI 1780164665
  NPD Authorized official

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1326559758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8116 ARLINGTON BLVD # 206",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220421002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 COLUMBIA PIKE STE 260",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222044409",
            "telephone_number": "240-392-1684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUEVARA",
        "first_name": "JACQUELINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-12",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904009490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Groth
• Tiwanna Chantrell Grover
• Richard David Gruntz II Jr., DDS
• Richard David Gruntz III, DDS
• Guardian Medical Services LLC (Guardian Medical Services)
• Tiffany Marie Guglielmelli, FNP-BC
• Guide Medical Group Inc
• Guillory Health Virginia, LLC
• Amar Raj Gulati, DPM
• Ambrish K Gupta, M.D.

• Clinical Social Worker in Arlington, VA
• Providers in Arlington, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.