Active NPI
Russell Charles Gutmann II, LCSW
- School Social Worker
- Omaha, NE
National Provider Identifier
1124503073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- 4804
- Practice address
- 2235 S 46TH St
Omaha, NE 68106-3304 - Phone
- (531) 299-8414
- NPI assigned
- Sep 26, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | 4804 | NE | Primary |
Addresses
Primary practice location
2235 S 46TH St
Omaha, NE 68106-3304
Mailing address
1023 Jones St Apt 706
Omaha, NE 68102-2938
Phone (941) 587-5570
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4804 | NE | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537920000000",
"number": "1124503073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1023 JONES ST APT 706",
"city": "OMAHA",
"state": "NE",
"postal_code": "681022938",
"telephone_number": "941-587-5570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2235 S 46TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681063304",
"telephone_number": "531-299-8414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTMANN",
"first_name": "RUSSELL",
"middle_name": "CHARLES",
"name_prefix": "Mr.",
"name_suffix": "II",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-26",
"last_updated": "2018-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NE",
"license": "4804",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.