Provider Demographics
NPI:1699420778
Name:GUERRERO, AIDA MICAELA (LMSW, CSW-I, CADC)
Entity type:Individual
Prefix:
First Name:AIDA
Middle Name:MICAELA
Last Name:GUERRERO
Suffix:
Gender:F
Credentials:LMSW, CSW-I, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1080 N MINNESOTA ST
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89703-3850
Mailing Address - Country:US
Mailing Address - Phone:775-445-7350
Mailing Address - Fax:
Practice Address - Street 1:1080 N MINNESOTA ST
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89703-3850
Practice Address - Country:US
Practice Address - Phone:775-445-7366
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-16
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV07203-C101YA0400X
NV9436-M104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)