Susan Reyna-Guerrero, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149-003304 Issued in IL

Practice address

6546 N Tahoma Ave
Chicago, IL 60646-2825

Phone

(773) 590-4612

NPI assigned

Jun 4, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Susan Reyna Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1496534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496534400000",
    "number": "1801325840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6546 N TAHOMA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606462825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6546 N TAHOMA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606462825",
            "telephone_number": "773-590-4612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNA-GUERRERO",
        "first_name": "SUSAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-04",
        "last_updated": "2017-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-003304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "REYNA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Paul Andrew Reyfman, M.D.
• Tennille R Reyher, PT
• Reymar Clinic Healthcare Inc.
• Reymar Dental Clinic
• Eva Reymer
• Jannet Manuela Reyna-Quito, MD
• Elizabeth R Reyna, APRN
• Rubi Reynaga, MA, BCBA
• Susan Reynolds-Lundberg, AUD
• Aaron Sidney Reynolds, M.D.

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2017; 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.