Provider Demographics
NPI:1043710023
Name:INES GUARIGUATA LCSW PLLC
Entity Type:Organization
Organization Name:INES GUARIGUATA LCSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:INES
Authorized Official - Middle Name:
Authorized Official - Last Name:GUARIGUATA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:929-325-1347
Mailing Address - Street 1:130 7TH AVE # 139
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-1803
Mailing Address - Country:US
Mailing Address - Phone:929-325-1347
Mailing Address - Fax:347-338-2090
Practice Address - Street 1:130 7TH AVE # 139
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-1803
Practice Address - Country:US
Practice Address - Phone:929-325-1347
Practice Address - Fax:347-338-2090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-16
Last Update Date:2020-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0830001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty