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NPI Code Detail

MEDICARE: MRS. ELANNA HOPE WILSON-GUZMAN BA, MS, LMSW, LSW, L

MEDICARE: MRS. ELANNA HOPE WILSON-GUZMAN BA, MS, LMSW, LSW, L
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
1101Y00000XCounselor8513-SNV
2101YA0400XAddiction (Substance Use Disorder) Counselor8513-SNV
3101YM0800XMental Health Counselor8513-SNV
4104100000XSocial WorkerS.2207823OH
5171M00000XCase Manager/Care Coordinator8513-SNV
6225400000XRehabilitation Practitioner
7104100000XSocial Worker8513-SNV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18513-SOTHERNVSOCIAL WORK LICENSE

General Provider Information

NPI Number : 1932403045
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ELANNA HOPE WILSON-GUZMAN BA, MS, LMSW, LSW, L
Provider Business Mailing Address
First Line : 7680 ROLLING MEADOWS DR
Second Line :
City : WEST CHESTER
State : OH
Zip : 45069-1225
Country : US
Telephone Number : 702-755-1585
Fax Number : 702-755-1585
Provider Business Practice Location Address
First Line : 401 E MCMILLAN ST
Second Line :
City : CINCINNATI
State : OH
Zip : 45206-1922
Country : US
Telephone Number : 513-221-3350
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2011
Last Update Date : 11/21/2022

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