Individual provider Active NPI

Jennifer Guerra, LCSW

  • Clinical Social Worker
  • El Paso, TX
National Provider Identifier
1508473646
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
69514 Issued in TX
Practice address
201 E Main Dr
El Paso, TX 79901-1340
Phone
(915) 887-3410
NPI assigned
Sep 23, 2020
Last updated
Mar 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 69514 TX
Clinical Social Worker 1041C0700X 69514 TX Primary

Addresses

Primary practice location

201 E Main Dr
El Paso, TX 79901-1340

Mailing address

9473 Socorro Rd
El Paso, TX 79907
Phone (915) 858-1076

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL jguerra@ydsp-nsn.gov

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
69514TXMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
El Paso Community MHMR CurrentSince Jun 7, 2024 Accepting new patients
Ysleta del Sur Pueblo Community Health Center CurrentSince Mar 2, 2024 Accepting new patients
El Paso Community MHMR CurrentSince Jun 7, 2024 Accepting new patients
El Paso Community MHMR Past Accepting new patients
Horizons Behavioral Health LLC PastSince Oct 20, 2024 Accepting new patients

Locations

10737 Gateway Blvd W
Ste 250
El Paso, TX 79935
Phone (915) 319-9488

10737 Gateway Blvd W
Ste 350
El Paso, TX 79935

1477 Lomaland Dr
Ste E7
El Paso, TX 79935
Phone (915) 599-6690

1551 Montana Ave
El Paso, TX 79902
Phone (915) 242-0555

1600 Montana Ave
El Paso, TX 79902
Phone (915) 877-3410

1601 E Yandell Dr
El Paso, TX 79902
Phone (915) 599-4900

201 E Main Dr
Ste 600
El Paso, TX 79901
Phone (915) 887-3419

2400 Trawood Dr
Ste 301
El Paso, TX 79936
Phone (915) 599-6735

725 S Mesa Hills Dr
Bldg 1
El Paso, TX 79912
Phone (915) 228-8128

725 S Mesa Hills Dr
Ste 1
El Paso, TX 79912
Phone (915) 842-0990

8500 Boeing Dr
El Paso, TX 79925
Phone (915) 242-0555

8730 Boeing Dr
El Paso, TX 79925
Phone (915) 599-6600

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1508473646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9473 SOCORRO RD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79907",
            "telephone_number": "915-858-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E MAIN DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799011340",
            "telephone_number": "915-887-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRA",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-23",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "69514",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "69514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jguerra@ydsp-nsn.gov",
            "affiliation": "N",
            "address_1": "9473 Socorro Rd",
            "city": "El Paso",
            "state": "TX",
            "country_code": "US",
            "postal_code": "799075619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.