Provider Demographics
NPI:1710147194
Name:GUERRA, MARIBEL (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MARIBEL
Middle Name:
Last Name:GUERRA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:MARIBEL
Other - Middle Name:BEATRIX
Other - Last Name:ROMERO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:8411 S DENKER AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90047-3114
Mailing Address - Country:US
Mailing Address - Phone:323-804-1521
Mailing Address - Fax:
Practice Address - Street 1:1875 W REDONDO BEACH BLVD STE 303
Practice Address - Street 2:
Practice Address - City:GARDENA
Practice Address - State:CA
Practice Address - Zip Code:90247-3644
Practice Address - Country:US
Practice Address - Phone:424-262-2099
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-10
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW 61039104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker