Provider Demographics
NPI:1841930716
Name:GUERRA, JOHANA (LMSW)
Entity type:Individual
Prefix:
First Name:JOHANA
Middle Name:
Last Name:GUERRA
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 1:7217 SANDY DUNE WAY
Mailing Address - Street 2:
Mailing Address - City:ARVERNE
Mailing Address - State:NY
Mailing Address - Zip Code:11692-2025
Mailing Address - Country:US
Mailing Address - Phone:917-279-0846
Mailing Address - Fax:
Practice Address - Street 1:7217 SANDY DUNE WAY
Practice Address - Street 2:
Practice Address - City:ARVERNE
Practice Address - State:NY
Practice Address - Zip Code:11692-2025
Practice Address - Country:US
Practice Address - Phone:917-279-0846
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-30
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY066713-01104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker