Provider Demographics
NPI:1144921974
Name:GUERRERO NEUMAYER, LORRAINE (LCSW, CADC, PEL)
Entity type:Individual
Prefix:
First Name:LORRAINE
Middle Name:
Last Name:GUERRERO NEUMAYER
Suffix:
Gender:F
Credentials:LCSW, CADC, PEL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 HUNTINGTON CT
Mailing Address - Street 2:
Mailing Address - City:SHOREWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60404-9423
Mailing Address - Country:US
Mailing Address - Phone:815-735-3380
Mailing Address - Fax:
Practice Address - Street 1:210 HUNTINGTON CT
Practice Address - Street 2:
Practice Address - City:SHOREWOOD
Practice Address - State:IL
Practice Address - Zip Code:60404-9423
Practice Address - Country:US
Practice Address - Phone:815-735-3380
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-17
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0207711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical