Provider Demographics
NPI:1407254097
Name:GUZMAN, ANNA XOCHITL (MSW, LGSW)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:XOCHITL
Last Name:GUZMAN
Suffix:
Gender:F
Credentials:MSW, LGSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9500 ANNAPOLIS RD STE B2
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-2062
Mailing Address - Country:US
Mailing Address - Phone:301-850-1148
Mailing Address - Fax:866-250-3233
Practice Address - Street 1:9500 ANNAPOLIS RD STE B2
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-2062
Practice Address - Country:US
Practice Address - Phone:301-850-1148
Practice Address - Fax:866-250-3233
Is Sole Proprietor?:No
Enumeration Date:2014-12-12
Last Update Date:2017-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD205231041C0700X
MD106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical