Active NPI
Ashley Amanda Guerra, LCSW
- Clinical Social Worker
- Apopka, FL
National Provider Identifier
1699101758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW13669
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106341800 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| SW13669 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amikids Behavioral Health, Inc. | Current | 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.
-
- Community/Behavioral Health Agency
- Tampa, FL
- NPI 1619116373
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.