Healthcare Provider Details

I. General information

NPI: 1154937068
Provider Name (Legal Business Name): KATHERINE PAULA GUZMAN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/17/2020
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4145 BRIARGATE PKWY BLDG A
COLORADO SPRINGS CO
80920-7843
US

IV. Provider business mailing address

9270 GRAND CORDERA PKWY APT 323
COLORADO SPRINGS CO
80924-7057
US

V. Phone/Fax

Practice location:
  • Phone: 719-769-0108
  • Fax:
Mailing address:
  • Phone: 719-675-0399
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW008951
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: