Provider Demographics
NPI:1437277696
Name:GUZIK, MARY K (LCSW)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:K
Last Name:GUZIK
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 1:5217 BUTTERWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:ORANGEVALE
Mailing Address - State:CA
Mailing Address - Zip Code:95662-5607
Mailing Address - Country:US
Mailing Address - Phone:916-988-5788
Mailing Address - Fax:
Practice Address - Street 1:5050 SUNRISE BLVD
Practice Address - Street 2:SUITE C-5
Practice Address - City:FAIR OAKS
Practice Address - State:CA
Practice Address - Zip Code:95628-4942
Practice Address - Country:US
Practice Address - Phone:916-622-1554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2009-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 252971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical