Provider Demographics
NPI:1437709409
Name:GUAZHIMA SANCHEZ, JOSELYN CAROLINA (LMSW)
Entity Type:Individual
Prefix:MISS
First Name:JOSELYN
Middle Name:CAROLINA
Last Name:GUAZHIMA SANCHEZ
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6714 41ST AVE
Mailing Address - Street 2:
Mailing Address - City:WOODSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11377-8128
Mailing Address - Country:US
Mailing Address - Phone:718-458-4243
Mailing Address - Fax:718-458-4481
Practice Address - Street 1:3410 108TH ST
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:NY
Practice Address - Zip Code:11368
Practice Address - Country:US
Practice Address - Phone:347-287-0175
Practice Address - Fax:347-287-0172
Is Sole Proprietor?:No
Enumeration Date:2019-09-12
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NY111694104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program