Individual provider Active NPI

Sophia Marie Guerriero, MS, CCC-SLP, TSSLD

  • Speech-Language Pathologist
  • Pawling, NY
National Provider Identifier
1417618976
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
035994-01 Issued in NY
Practice address
515 Ny-22 Pawling
Pawling, NY 12564
Phone
(845) 855-4600
NPI assigned
Jan 6, 2022
Last updated
Sep 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 035994-01 NY Primary
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

515 Ny-22 Pawling
Pawling, NY 12564

Mailing address

5 Dallas Dr
Poughkeepsie, NY 12603-5140
Phone (845) 625-8350

Other practice location 1

190 Goldens Bridge Rd Ste 9
Katonah, NY 10536-2804
Phone (914) 893-2223

Other practice location 2

301 Main St # B
Goshen, NY 10924-1636
Phone (845) 458-8661

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
035994-01NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1641427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1417618976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 DALLAS DR",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126035140",
            "telephone_number": "845-625-8350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 NY-22 PAWLING",
            "city": "PAWLING",
            "state": "NY",
            "postal_code": "12564",
            "telephone_number": "845-855-4600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "190 Goldens Bridge Rd Ste 9",
            "address_purpose": "LOCATION",
            "city": "Katonah",
            "state": "NY",
            "postal_code": "105362804",
            "country_code": "US",
            "telephone_number": "914-893-2223",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Main St # B",
            "address_purpose": "LOCATION",
            "city": "Goshen",
            "state": "NY",
            "postal_code": "109241636",
            "country_code": "US",
            "telephone_number": "845-458-8661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUERRIERO",
        "first_name": "SOPHIA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MS, CCC-SLP, TSSLD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-06",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "035994-01",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawling, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; 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.