Lori-Ana Elisa Guillen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11306-123 Issued in WI

Practice address

615 N Pine St Ste 202
Burlington, WI 53105-1492

Phone

(414) 666-4211

NPI assigned

Jun 21, 2023

Last updated

Mar 20, 2026By 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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WI

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

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.

• Brave Changes, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Franklin, WI
  • NPI 1972339935
  Authorized official Same address or phone

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1366127714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7250 S BALLPARK DR APT 106",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531327026",
            "telephone_number": "786-217-2642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 N PINE ST STE 202",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531051492",
            "telephone_number": "414-666-4211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7250 S Ballpark Dr Apt 106",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "WI",
            "postal_code": "531327026",
            "country_code": "US",
            "telephone_number": "414-666-4211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUILLEN",
        "first_name": "LORI-ANA",
        "middle_name": "ELISA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-21",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "11306123",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "11306-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "15683462",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11306123",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Griffin, PT
• Erin Grinhaug, M.D.
• Melissa Lea Groza, LMT
• Dawn Gruber, PTA
• Jeffrey C Grzelka
• Nichole Gunyon, NP
• Kelsey Ann Guzzetta, R.N.
• Nguyen Q Ha, M.D
• Nancy Haarmann-Habrel
• Amber Hackl

• Clinical Social Worker in Burlington, WI
• Providers in Burlington, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; 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.