Provider Demographics
NPI:1134006489
Name:PSYCHOTHERAPY WITH ROSA GUZMAN, LICSW, LLC
Entity type:Organization
Organization Name:PSYCHOTHERAPY WITH ROSA GUZMAN, LICSW, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:ROSA
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:GUZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:413-206-4660
Mailing Address - Street 1:164 RACE ST UNIT 105
Mailing Address - Street 2:
Mailing Address - City:HOLYOKE
Mailing Address - State:MA
Mailing Address - Zip Code:01040-5883
Mailing Address - Country:US
Mailing Address - Phone:413-206-4660
Mailing Address - Fax:
Practice Address - Street 1:164 RACE ST UNIT 105
Practice Address - Street 2:
Practice Address - City:HOLYOKE
Practice Address - State:MA
Practice Address - Zip Code:01040-5883
Practice Address - Country:US
Practice Address - Phone:413-206-4660
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-19
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty