Healthcare Provider Details

I. General information

NPI: 1285983635
Provider Name (Legal Business Name): GUISELLA PAOLA CONROY LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/30/2012
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13305 PENN ST STE 140
WHITTIER CA
90602-1796
US

IV. Provider business mailing address

13305 PENN ST STE 140
WHITTIER CA
90602-1796
US

V. Phone/Fax

Practice location:
  • Phone: 562-551-2630
  • Fax:
Mailing address:
  • Phone: 562-551-2630
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSWI.LW.61691813
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW99170
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: