MEDICARE: MRS. SARAH M. GUIDORZI MSW, LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	004489	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861602922
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SARAH M. GUIDORZI MSW, LCSW

Provider Business Mailing Address
First Line	:	10004 KENNERLY RD STE 280B
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63128-2177
Country	:	US
Telephone Number	:	314-525-7296
Fax Number	:	314-525-7260

Provider Business Practice Location Address
First Line	:	10004 KENNERLY RD STE 280B
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63128-2177
Country	:	US
Telephone Number	:	314-525-7296
Fax Number	:	314-525-7260

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2007
Last Update Date	:	11/21/2024

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