Floren Mary E. Guillermo, MFT-INTERN

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

IMF67619 Issued in CA

Practice address

6931 Van Nuys Blvd Ste 102
Van Nuys, CA 91405-3980

Phone

(818) 376-0134

Fax

(818) 376-1437

NPI assigned

Sep 4, 2013

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1912332388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6931 VAN NUYS BLVD STE 102",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053980",
            "telephone_number": "818-376-0134",
            "fax_number": "818-376-1437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6931 VAN NUYS BLVD STE 102",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053980",
            "telephone_number": "818-376-0134",
            "fax_number": "818-376-1437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15400 Sherman Way Ste 220",
            "address_purpose": "LOCATION",
            "city": "Van Nuys",
            "state": "CA",
            "postal_code": "914067403",
            "country_code": "US",
            "telephone_number": "818-267-1100",
            "fax_number": "213-383-3146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUILLERMO",
        "first_name": "FLOREN MARY",
        "middle_name": "E.",
        "credential": "MFT-INTERN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF67619",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "IMF67619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Guese
• Juan Carlos Guevara
• Sofia Emperatriz Guevara
• Guiamelon Medical Clinic, Inc.
• Rita Paraiso Guiamelon, M.D.
• Lorena F Guillermo
• Carine Guirguis
• Esmeralda Guiterrez
• Violeta Guitron
• Becky Gumaer

• Clinical Social Worker in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.