Healthcare Provider Details

I. General information

NPI: 1346159456
Provider Name (Legal Business Name): ANA GONZALEZ GUZMAN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

280 MERRIMACK ST STE 160
LAWRENCE MA
01843-1780
US

IV. Provider business mailing address

47 MELVIN ST
LAWRENCE MA
01841-4400
US

V. Phone/Fax

Practice location:
  • Phone: 508-901-4686
  • Fax:
Mailing address:
  • Phone: 978-397-9814
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLCSW2142084
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: