Kelsie Ann Guerrera, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11793 Issued in CT

Practice address

4 Corporate Dr Ste 186
Shelton, CT 06484-6266

Phone

(203) 951-1858

NPI assigned

Nov 3, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

Practice roles

Locations

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.

• Wellness Center of Oxford

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Shelton, CT
  • NPI 1275008195
  Medicare reassignment NPD
• Connecticut Behavioral Health, LLC

  • Professional Counselor
  • Cheshire, CT
  • NPI 1235171828

  Clinical

  NPD

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697846400000",
    "number": "1619632809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CORPORATE DR STE 186",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064846266",
            "telephone_number": "203-951-1858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CORPORATE DR STE 186",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064846266",
            "telephone_number": "203-951-1858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRERA",
        "first_name": "KELSIE",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-03",
        "last_updated": "2023-10-21",
        "certification_date": "2023-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "11793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Ines Grich, OTR/L
• Kyleen Elizabeth Griffin, LCSW
• Scott S. Grimo, ATC
• Grove Park Senior Care PC
• Jennifer Dawn Guarino
• Suzanne Guerrucci, LCSW
• Bhavin Gupta, DMD
• Vanessa Gutierrez-Santana
• Dorothy Gutwein, M.D.
• H and B Quality Medical Care LLC

• Clinical Social Worker in Shelton, CT
• Providers in Shelton, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2023; 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.