Provider Demographics
NPI:1922113521
Name:GUARINO, SHERRY LEE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:SHERRY
Middle Name:LEE
Last Name:GUARINO
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 1:3247 MONTLAKE DR
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:IL
Mailing Address - Zip Code:61114-5516
Mailing Address - Country:US
Mailing Address - Phone:815-877-8869
Mailing Address - Fax:815-877-8872
Practice Address - Street 1:3247 MONTLAKE DR
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:IL
Practice Address - Zip Code:61114-5516
Practice Address - Country:US
Practice Address - Phone:815-877-8869
Practice Address - Fax:815-877-8872
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical