Healthcare Provider Details

I. General information

NPI: 1114505252
Provider Name (Legal Business Name): SABRINA GUZMAN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2021
Last Update Date: 04/28/2025
Certification Date: 04/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3964 NARR AVE
YUMA AZ
85365
US

IV. Provider business mailing address

10161 E 33RD PL
YUMA AZ
85365-6015
US

V. Phone/Fax

Practice location:
  • Phone: 928-269-2561
  • Fax:
Mailing address:
  • Phone: 909-609-6800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW-22632
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: