Individual provider Active NPI

Ashley Amanda Guerra, LCSW

  • Clinical Social Worker
  • Apopka, FL
National Provider Identifier
1699101758
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW13669 Issued in FL
Practice address
1461 S Lake Pleasant Rd
Apopka, FL 32703-7601
Phone
(407) 886-5405
NPI assigned
Sep 20, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Clinical Social Worker 1041C0700X SW13669 FL Primary

Addresses

Primary practice location

1461 S Lake Pleasant Rd
Apopka, FL 32703-7601

Mailing address

728 Roughbeard Rd
Winter Park, FL 32792-4519
Phone (407) 754-8990

Other identifiers 1

IdentifierTypeStateIssuer
106341800MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.amikids.org Direct

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
SW13669FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Amikids Behavioral Health, Inc. CurrentSince Feb 27, 2022 Accepting new patients

Locations

1461 S Lake Pleasant Rd
Apopka, FL 32703
Phone (407) 886-5405

3220 SW 4th Ave
Ft Lauderdale, FL 33315
Phone (954) 764-2733

13375 Beach Blvd
Jacksonville, FL 32246
Phone (904) 223-1121

1000 Inspiration Ln
Melbourne, FL 32934
Phone (321) 752-3200

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1379635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1699101758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 ROUGHBEARD RD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327924519",
            "telephone_number": "407-754-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1461 S LAKE PLEASANT RD",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327037601",
            "telephone_number": "407-886-5405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRA",
        "first_name": "ASHLEY",
        "middle_name": "AMANDA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-20",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW13669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106341800",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.amikids.org",
            "affiliation": "N",
            "endpointDescription": "company website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "company website",
            "address_1": "1461 S Lake Pleasant Rd",
            "city": "Apopka",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327037601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Apopka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.