Jessica Marie Gutierrez, LCSW, CSAC, ICS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7533-123 Issued in WI

Practice address

2101 Linden Ave Apt 2
Madison, WI 53704-5350

Phone

(608) 466-6560

NPI assigned

Jan 5, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Jessica Marie Gutierrez Former name

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Madison Psychotherapy and Wellness LLC

  • Clinical Social Worker
  • Madison, WI
  • NPI 1760115653
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1003052572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RIVER PL STE 260",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537164043",
            "telephone_number": "608-466-6560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 LINDEN AVE APT 2",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537045350",
            "telephone_number": "608-466-6560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "credential": "LCSW, CSAC, ICS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-05",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15584-132",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "7533-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "GUTIERREZ",
            "middle_name": "MARIE",
            "credential": "PANKRATZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabethwin S. Gutgesell, NP
• Scott Guthrie, DMD
• Belinda Gutierrez, PH.D.
• Elena Gutierrez, M.D.
• Gilberto Gutierrez, SERVICE FACILITATOR
• Maria Victoria Gutierrez, LMT
• Nicholas Gutierrez, RBT
• Mary L Gutknecht, PC
• Kate Gutkowski
• McKayla Rose Gutzmer

• Clinical Social Worker in Madison, WI
• Providers in Madison, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.