Healthcare Provider Details

I. General information

NPI: 1568571214
Provider Name (Legal Business Name): LISA M GUERRIERI-HERRMANN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

521 N BRIGHTLEAF BLVD JOHNSTON COUNTY MENTAL HEALTH CENTER
SMITHFIELD NC
27577-4407
US

IV. Provider business mailing address

521 N BRIGHTLEAF BLVD
SMITHFIELD NC
27577-4407
US

V. Phone/Fax

Practice location:
  • Phone: 919-989-5500
  • Fax: 919-989-5532
Mailing address:
  • Phone: 919-989-5500
  • Fax: 833-438-7008

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC002876
License Number StateNC

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier6106404
Identifier TypeMEDICAID
Identifier StateNC
Identifier Issuer

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: