Active NPI
Rafael Andres Guzman Jr., MSW
- Social Worker
- Hollywood, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- ISW5571
- Practice address
- 3400 N. 29TH Avenue
Hollywood, FL 33020 - Phone
- (954) 276-3400
- Fax
- (954) 965-6444
- NPI assigned
- Aug 2, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | ISW5571 | FL | Primary |
Addresses
Primary practice location
3400 N. 29TH Avenue
Hollywood, FL 33020
Mailing address
3400 N. 29TH Avenue
Hollywood, FL 33020
Phone (954) 276-3400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2480 N Park Rd
Hollywood, FL 33021-3744
Phone (786) 414-6666
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ISW5571 | FL | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Living Memory Health, Inc. | Current | Accepting new patients | |
| Mtca Psychological Services P.a. | Current | Accepting new patients |
Locations
2000 Lowson Blvd
Delray Beach, FL 33445
Phone (561) 454-2000
7091 Atlantic Ave
Delray Beach, FL 33446
Phone (561) 558-2149
2480 N Park Rd
Hollywood, FL 33021
Phone (954) 592-3024
16853 NE 2nd Ave
Ste S304
North Miami Beach, FL 33162
16853 NE 2nd Ave
Ste 304
North Miami Beach, FL 33162
Phone (954) 907-1817
Organizations & group practices 2
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.
-
- Clinical Psychologist
- North Miami Beach, FL
- NPI 1851847834
-
- Clinical Psychologist
- North Miami Beach, FL
- NPI 1740552322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358467200000",
"number": "1699053140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 N. 29TH AVENUE",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "33020",
"telephone_number": "954-276-3400",
"fax_number": "954-965-6444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 N. 29TH AVENUE",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "33020",
"telephone_number": "954-276-3400",
"fax_number": "954-965-6444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUZMAN",
"first_name": "RAFAEL",
"middle_name": "ANDRES",
"name_suffix": "Jr.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-02",
"last_updated": "2013-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "FL",
"license": "ISW5571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.