Provider Demographics
NPI:1427655703
Name:GUERRERO, GILBERT EDWARD (LMSW)
Entity type:Individual
Prefix:MR
First Name:GILBERT
Middle Name:EDWARD
Last Name:GUERRERO
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2239 TRINITY SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75007-5946
Mailing Address - Country:US
Mailing Address - Phone:972-360-8055
Mailing Address - Fax:
Practice Address - Street 1:13747 MONTFORT DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240-4454
Practice Address - Country:US
Practice Address - Phone:214-506-3134
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-08
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63154104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker