Provider Demographics
NPI:1548377336
Name:GUARIGUATA, ANDREW CAYAURIMA (LCSW)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:CAYAURIMA
Last Name:GUARIGUATA
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:ANDRES
Other - Middle Name:CAYAURIMA
Other - Last Name:GUARIGUATA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:9801 W PARMER LN APT 1231
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78717-4609
Mailing Address - Country:US
Mailing Address - Phone:512-796-3379
Mailing Address - Fax:
Practice Address - Street 1:701 FARM TO MARKET 685
Practice Address - Street 2:SUITE 450
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-7104
Practice Address - Country:US
Practice Address - Phone:512-379-7728
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX167681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXS40927Medicare UPIN
TX8G0221Medicare ID - Type Unspecified