Active NPI
Juan Raul Guerrero, LCSW
- Clinical Social Worker
- Mercedes, TX
National Provider Identifier
1588048243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 55793
- Practice address
- 2411 Camino Real Viejo
Mercedes, TX 78570-9486 - Phone
- (956) 299-2265
- Fax
- (956) 338-5629
- NPI assigned
- Jul 13, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 55793 | TX | Primary |
Addresses
Primary practice location
2411 Camino Real Viejo
Mercedes, TX 78570-9486
Mailing address
2411 Camino Real Viejo
Mercedes, TX 78570-9486
Phone (956) 299-2265
Other practice location 1
1901 S 24TH Ave
Edinburg, TX 78539-6533
Phone (956) 289-7025
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 138708613 | Medicaid | TX | |
| 00R945 | Other | TX | MEDICARE |
| 352174202 | Medicaid | TX |
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 |
|---|---|---|---|
| 55793 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566864000000",
"number": "1588048243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2411 CAMINO REAL VIEJO",
"city": "MERCEDES",
"state": "TX",
"postal_code": "785709486",
"telephone_number": "956-299-2265",
"fax_number": "956-338-5629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2411 CAMINO REAL VIEJO",
"city": "MERCEDES",
"state": "TX",
"postal_code": "785709486",
"telephone_number": "956-299-2265",
"fax_number": "956-338-5629"
}
],
"practiceLocations": [
{
"address_1": "1901 S 24TH AVE",
"address_purpose": "LOCATION",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785396533",
"country_code": "US",
"telephone_number": "956-289-7025",
"fax_number": "956-289-7257",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUERRERO",
"first_name": "JUAN",
"middle_name": "RAUL",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-13",
"last_updated": "2019-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "55793",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "138708613",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "00R945",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "352174202",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mercedes, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.