Healthcare Provider Details

I. General information

NPI: 1730240730
Provider Name (Legal Business Name): LUISA R. GUERRA MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/13/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 JEFFERSON STREET CATHOLIC CHARITIES
HARTFORD CT
06106
US

IV. Provider business mailing address

80 JEFFERSON STREET CATHOLIC CHARITIES
HARTFORD CT
06106
US

V. Phone/Fax

Practice location:
  • Phone: 860-527-1124
  • Fax: 860-724-2539
Mailing address:
  • Phone: 860-527-1124
  • Fax: 860-724-2539

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: