Teresa J Gutierrez, Lisw, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I4202 Issued in OH

Legal business name

TERESA J GUTIERREZ, LISW, INC.

Practice address

6009 Landerhaven Dr
Ste F
Mayfield HTS, OH 44124-4192

Phone

(440) 646-0671

Fax

(440) 641-5033

NPI assigned

Oct 17, 2007

Organization subpart

No

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

Authorized official

Name

Teresa J Gutierrez, LISW

Title

President

Phone

(440) 646-0671

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1104015072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6009 LANDERHAVEN DR",
            "address_2": "STE F",
            "city": "MAYFIELD HTS",
            "state": "OH",
            "postal_code": "441244192",
            "telephone_number": "440-646-0671",
            "fax_number": "440-641-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6009 LANDERHAVEN DR",
            "address_2": "STE F",
            "city": "MAYFIELD HTS",
            "state": "OH",
            "postal_code": "441244192",
            "telephone_number": "440-646-0671",
            "fax_number": "440-641-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERESA J GUTIERREZ, LISW, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-646-0671",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I4202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica R Sumodi, CNS
• Howard Jay Synenberg, DDS
• Julia Tabachnik
• Melissa Tabor, D.O
• Steven Jeffrey Taub, M.D.
• Howard Lane Tetalman, D.D.S.
• Jigna T Thakkar
• The Cleveland Clinic Foundation
• Therapy & Behavior Services of Ohio
• Kay Thomas

• Clinical Social Worker in Mayfield HTS, OH
• Providers in Mayfield HTS, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.