Maria Josefina Guzman Gutierrez, LCSW,96319

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

96319 Issued in CA

Practice address

610 Elm St Ste 212
San Carlos, CA 94070-3070

Phone

(650) 591-9623

NPI assigned

Aug 12, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713571200000",
    "number": "1104259399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 W FREMONT AVE UNIT 2074",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940879003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 ELM ST STE 212",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940703070",
            "telephone_number": "650-591-9623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 S Bascom Ave Ste 2005",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951283538",
            "country_code": "US",
            "telephone_number": "669-241-0501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUZMAN GUTIERREZ",
        "first_name": "MARIA",
        "middle_name": "JOSEFINA",
        "credential": "LCSW,96319",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-12",
        "last_updated": "2024-04-20",
        "certification_date": "2024-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "96319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Grove
• Tamara Grundland
• Kevin Butler Guess
• Shanna Guetta, SLP
• Venera Gumerova
• Sharon Ha
• Joshua Ian Habansky, APRN, PMHNP
• Marsy Haber, MFT INTERN
• Lauren Eleni-Rally Hadden
• Alexandra Sowiski Hagnere, MFT

• Clinical Social Worker in San Carlos, CA
• Providers in San Carlos, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2024; 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.