Individual provider Active NPI

Wendy Janette Guzman-Rosa, LMSW

  • Social Worker
  • Mount Vernon, NY
National Provider Identifier
1649417445
Registry record updated Jan 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
071647 Issued in NY
Practice address
73 Lorraine Ter Apt 321
Mount Vernon, NY 10553-1237
Phone
(914) 772-2290
NPI assigned
Jan 15, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 071647 NY Primary

Addresses

Primary practice location

73 Lorraine Ter Apt 321
Mount Vernon, NY 10553-1237

Mailing address

73 Lorraine Ter Apt 321
Mount Vernon, NY 10553-1237
Phone (914) 772-2290

Other names 1

  • Wendy Janette Guzman Professional name

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

State licenses

LicenseStateTypeSpecialty
071647NYMDPharmacist

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

NPI Registry JSON

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231977600000",
    "number": "1649417445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 LORRAINE TER APT 321",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105531237",
            "telephone_number": "914-772-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 LORRAINE TER APT 321",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105531237",
            "telephone_number": "914-772-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN-ROSA",
        "first_name": "WENDY",
        "middle_name": "JANETTE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-15",
        "last_updated": "2009-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "071647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "GUZMAN",
            "middle_name": "JANETTE",
            "credential": "LMSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Mount Vernon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; 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.