Monica Lizett Guzman, MA IN PSYCHOLOGY

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

120484 Issued in CA

Practice address

2120 Alpine Blvd
Alpine, CA 91901-2113

Phone

(619) 722-7319

NPI assigned

Jan 26, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1516924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1962900746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 ALPINE BLVD",
            "city": "ALPINE",
            "state": "CA",
            "postal_code": "919012113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 ALPINE BLVD",
            "city": "ALPINE",
            "state": "CA",
            "postal_code": "919012113",
            "telephone_number": "619-722-7319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN",
        "first_name": "MONICA",
        "middle_name": "LIZETT",
        "credential": "MA IN PSYCHOLOGY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-26",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "120484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALPINE SPECIAL TREATMENT CENTER",
            "identifier": "101YM00800X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Firas Hazim Gorges, MD
• Grace Care Physical Therapy
• Graciela Peace
• Eric Gary Greenberg, DO
• Scott J Gregg, LMFT
• Julie S Hahn, PHD
• Trinity Hankins
• Karen Lynn Hanten, MD
• Kendra Hardway
• Sheryl Elaine Harpel

• All providers in Alpine, CA
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.