Jacqueline Guevara LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904009490 Issued in VA

Legal business name

JACQUELINE GUEVARA LLC

Practice address

601 King Street, #260
Alexandria, VA 22314

Phone

(240) 392-1684

NPI assigned

Aug 20, 2018

Organization subpart

No

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

Authorized official

Name

Jacqueline J Guevara, LCSWNPI 1326559758

Title

Licensed Clinical Social Worker

Phone

(240) 392-1684

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacqueline Guevara, LCSW

  • Clinical Social Worker
  • Arlington, VA
  • NPI 1326559758
  NPD Authorized official

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1780164665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8116 ARLINGTON BLVD # 206",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220421002",
            "telephone_number": "240-392-1684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 KING STREET, #260",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "22314",
            "telephone_number": "240-392-1684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELINE GUEVARA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-20",
        "last_updated": "2022-10-05",
        "certification_date": "2022-09-28",
        "status": "A",
        "authorized_official_last_name": "GUEVARA",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "240-392-1684",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904009490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326559758",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marsha E Jackson, CNM
• Shakina Virlee Jackson
• Verline Jackson
• Mara Robyn Jacobs, LPC
• Peyton Jacobs
• Jacqueline M Brideau, PLLC Dba Bloom and Grow Pediatric Physical Therapy
• Lauren R Jaeger
• Darrell Franklin Jagoe Jr.
• Sharrin Jahan
• Sibila Jahangiri, LPC

• Clinical Social Worker in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; 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.