Individual
MS. JENNIFER LYN GUERRERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
500 N BRIDGE ST, BRIDGEWATER, NJ 08807
(908) 725-2800
(908) 704-1790
Mailing address
68 N BRIDGE ST, SOMERVILLE, NJ 08876-1919
(908) 448-2741
(908) 698-0755
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05345400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0023701
AGENCY MEDICAID PROVIDER #
NJ
01
—
527486
AGECY MEDICARE PROVIDER #
NJ
Enumeration date
07/31/2008
Last updated
07/16/2018
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