MEDICARE: LORRAINE GUERRERO NEUMAYER LCSW, CADC, PEL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	149.020771	IL

General Provider Information

NPI Number	:	1144921974
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORRAINE GUERRERO NEUMAYER LCSW, CADC, PEL

Provider Business Mailing Address
First Line	:	81 N CHICAGO ST STE 204
Second Line	:
City	:	JOLIET
State	:	IL
Zip	:	60432-4383
Country	:	US
Telephone Number	:	815-855-2121
Fax Number	:	815-581-4091

Provider Business Practice Location Address
First Line	:	81 N CHICAGO ST STE 204
Second Line	:
City	:	JOLIET
State	:	IL
Zip	:	60432-4383
Country	:	US
Telephone Number	:	815-855-2121
Fax Number	:	815-581-4091

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/17/2023
Last Update Date	:	04/13/2026

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