Active NPI
Sandra Guerrero, LCSW
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1407084965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 71392
- Practice address
- 510 S Vermont Ave FL 18
Los Angeles, CA 90020-1912 - Phone
- (800) 854-7771
- NPI assigned
- Jun 23, 2009
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 26269 | CA | |
| Clinical Social Worker | 1041C0700X | 71392 | CA | Primary |
Addresses
Primary practice location
510 S Vermont Ave FL 18
Los Angeles, CA 90020-1912
Mailing address
510 S Vermont Ave FL 18
Los Angeles, CA 90020-1912
Phone (800) 854-7771
Other practice location 1
12450 Van Nuys Blvd Ste 100
Pacoima, CA 91331-1392
Phone (626) 395-7100
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
| License | State | Type | Specialty |
|---|---|---|---|
| 71392 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Valley Health Corporation | Past | Accepting new patients |
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.
-
- Federally Qualified Health Center (FQHC)
- Van Nuys, CA
- NPI 1629079009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702252800000",
"number": "1407084965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 S VERMONT AVE FL 18",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900201912",
"telephone_number": "800-854-7771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 S VERMONT AVE FL 18",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900201912",
"telephone_number": "800-854-7771"
}
],
"practiceLocations": [
{
"address_1": "12450 Van Nuys Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "Pacoima",
"state": "CA",
"postal_code": "913311392",
"country_code": "US",
"telephone_number": "626-395-7100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUERRERO",
"first_name": "SANDRA",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-23",
"last_updated": "2023-12-11",
"certification_date": "2023-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "26269",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "71392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.