Michael Louis Guerin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

091628-01 Issued in NY

Practice address

262 Woodward Ave
Kenmore, NY 14217-1539

Phone

(716) 566-7771

Fax

(716) 873-0564

NPI assigned

Dec 4, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

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.

• Mid Erie Mental Health Services Inc

  • Counselor
  • Cheektowaga, NY
  • NPI 1225095201

  Social Worker

  Medicare reassignment NPD
• Shurmatz Counseling LCSW PC

  • Clinical Social Worker
  • Cheektowaga, NY
  • NPI 1225597768
  Medicare reassignment

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

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1871063784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 WOODWARD AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171539",
            "telephone_number": "716-566-7771",
            "fax_number": "716-873-0564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 WOODWARD AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171539",
            "telephone_number": "716-566-7771",
            "fax_number": "716-873-0564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERIN",
        "first_name": "MICHAEL",
        "middle_name": "LOUIS",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-04",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "102721-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "091628-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alaia Gross
• Melissa Lynn Groth
• Erin Marie Gruttadauria
• Michael Joseph Gruttadauria
• Salvatore A. Gruttadauria, AU.D.
• Ashvani K Gulati, M.D.
• Darlene M Gullia, COTA
• Mary Ann Gullo, COTA
• Eddylees Guzman
• George A Haddad, MD

• Clinical Social Worker in Kenmore, NY
• Providers in Kenmore, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.