Provider Demographics
NPI:1518743467
Name:GUERRERO, MONIQUE (LSW, OCPS, CDCA)
Entity type:Individual
Prefix:
First Name:MONIQUE
Middle Name:
Last Name:GUERRERO
Suffix:
Gender:F
Credentials:LSW, OCPS, CDCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1824 GETTYSBURG DR
Mailing Address - Street 2:
Mailing Address - City:LORAIN
Mailing Address - State:OH
Mailing Address - Zip Code:44053-3209
Mailing Address - Country:US
Mailing Address - Phone:440-506-7410
Mailing Address - Fax:
Practice Address - Street 1:1824 GETTYSBURG DR
Practice Address - Street 2:
Practice Address - City:LORAIN
Practice Address - State:OH
Practice Address - Zip Code:44053-3209
Practice Address - Country:US
Practice Address - Phone:440-506-7410
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-06
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
S.2512647104100000X
OHCDCA.185866101YA0400X
OH161500405300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No405300000XOther Service ProvidersPrevention Professional