Maribel Guerra, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LCSW 61039 Issued in CA

Practice address

1875 W Redondo Beach Blvd Ste 303
Gardena, CA 90247-3644

Phone

(424) 262-2099

NPI assigned

Jun 10, 2008

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

Other names 1

• Ms. Maribel Beatrix Romero Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Vida Wholeness Family Therapy Corp

  • Social Worker
  • Gardena, CA
  • NPI 1760944227
  NPD Authorized official
• St. Johns Community Health

  • Federally Qualified Health Center (FQHC)
  • San Bernardino, CA
  • NPI 1780376947
  NPD (past)

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1710147194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8411 S DENKER AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900473114",
            "telephone_number": "323-804-1521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 W REDONDO BEACH BLVD STE 303",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473644",
            "telephone_number": "424-262-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRA",
        "first_name": "MARIBEL",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-10",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "LCSW 61039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIBEL",
            "last_name": "ROMERO",
            "middle_name": "BEATRIX",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jorge Alberto Guandique
• Jacqueline Guarneros Vazquez
• Carlo Samuel Guballa
• Dinka Gudar, B.A.
• Angeline Rose Guerra
• Breena Guerrero
• Brianna Rosa Guerrero
• Derek Guerrero
• Rosalie Guerrero
• Yadira Vanessa Guerrero

• Social Worker in Gardena, CA
• Providers in Gardena, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.