Individual provider Active NPI

Pashince S Guerra, LMSW

  • Clinical Social Worker
  • Olathe, KS
National Provider Identifier
1972340859
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12231 Issued in KS
Practice address
25055 W Valley Pkwy Ste 102
Olathe, KS 66061-8573
Phone
(913) 494-8550
NPI assigned
Jul 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2021027491 MO
Clinical Social Worker 1041C0700X 12231 KS Primary

Addresses

Primary practice location

25055 W Valley Pkwy Ste 102
Olathe, KS 66061-8573

Mailing address

521 N Walnut St
Olathe, KS 66061-2543
Phone (913) 267-9984

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12231KSMDClinical Social Worker
2021027491MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Archer, LLC Clinical CurrentSince Oct 17, 2024 Accepting new patients

Locations

25055 W Valley Pkwy
Ste 102
Olathe, KS 66061
Phone (913) 494-8550

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1972340859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 N WALNUT ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660612543",
            "telephone_number": "913-267-9984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25055 W VALLEY PKWY STE 102",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660618573",
            "telephone_number": "913-494-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRA",
        "first_name": "PASHINCE",
        "middle_name": "S",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2021027491",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "12231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.