Dana A Guerrero, LCSW

Individual provider Active NPI Clinical Social Worker · River Edge, NJ

NPI 1780204792 · NPPES record last updated Apr 20, 2020

Key facts

NPI
1780204792
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
44SC04597800 (NJ)
Practice address
728 Elm Ave
River Edge, NJ 07661-1406
Phone
(201) 788-9788
NPI assigned
Apr 20, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
44SC04597800NJMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC04597800 NJ Yes

Addresses

Primary practice location

728 Elm Ave
River Edge, NJ 07661-1406

Mailing address

728 Elm Ave
River Edge, NJ 07661-1406
Phone (201) 788-9788

Other providers in River Edge, NJ

All providers in River Edge, NJ · Clinical Social Worker in New Jersey

Sources for this page

Verify at the official NPI Registry.