Provider Demographics
NPI:1043572647
Name:GUERRA, ANA (LCSW, LPC, LCADC)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:
Last Name:GUERRA
Suffix:
Gender:F
Credentials:LCSW, LPC, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6512
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NJ
Mailing Address - Zip Code:08844-6512
Mailing Address - Country:US
Mailing Address - Phone:908-278-0200
Mailing Address - Fax:
Practice Address - Street 1:812 STATE RD STE 206
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-1400
Practice Address - Country:US
Practice Address - Phone:908-278-0200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-11
Last Update Date:2013-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00089600101YA0400X
NJ37PC00233300101YP2500X
NJ44SC052473001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional