Provider Demographics
NPI:1275614588
Name:GUERRA, JOSEFINA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JOSEFINA
Middle Name:
Last Name:GUERRA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 VERMILYEA AVE
Mailing Address - Street 2:APT 55
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10034-5409
Mailing Address - Country:US
Mailing Address - Phone:917-365-1513
Mailing Address - Fax:
Practice Address - Street 1:JBFCS BRONX REAL
Practice Address - Street 2:55 WESTCHESTER SQUARE
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-3525
Practice Address - Country:US
Practice Address - Phone:718-931-4045
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0614651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical