Provider Demographics
NPI:1417664061
Name:GUERRERO, ANDRES R (LMSW)
Entity Type:Individual
Prefix:MR
First Name:ANDRES
Middle Name:R
Last Name:GUERRERO
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5900 ARLINGTON AVE APT 3N
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10471-1305
Mailing Address - Country:US
Mailing Address - Phone:917-562-1298
Mailing Address - Fax:
Practice Address - Street 1:5900 ARLINGTON AVE APT 3N
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10471-1305
Practice Address - Country:US
Practice Address - Phone:917-562-1298
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-02
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY115471-011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical