Individual provider Active NPI

Angela Leigh Gutierrez, MSW, ASW

  • Clinical Social Worker
  • Fresno, CA
National Provider Identifier
1124586821
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ASW106541 Issued in CA
Practice address
4205 W Figarden Dr
Fresno, CA 93722-6051
Phone
(559) 221-1680
NPI assigned
Mar 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X ASW106541 CA
Case Manager/Care Coordinator 171M00000X
Clinical Social Worker 1041C0700X ASW106541 CA Primary
Counselor 101Y00000X

Addresses

Primary practice location

4205 W Figarden Dr
Fresno, CA 93722-6051

Mailing address

4205 W Figarden Dr
Fresno, CA 93722-6051
Phone (559) 652-1350

Other practice location 1

106 Pollasky Ave Ste D
Clovis, CA 93612-1159
Phone (559) 203-3775

Other practice location 2

512 N Court St
Visalia, CA 93291-4913
Phone (559) 754-3011

Other practice location 3

7575 N Cedar Ave Ste 102
Fresno, CA 93720-2693
Phone (559) 321-2322

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

LicenseStateTypeSpecialty
ASW106541CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mindcure, Inc Case Manager/Care Coordinator PastSince Jul 1, 2023 Accepting new patients
Achievements Unlimited Clinical Psychology Services, Inc. PastSince Oct 12, 2022 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1124586821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 W FIGARDEN DR",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937226051",
            "telephone_number": "559-652-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 W FIGARDEN DR",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937226051",
            "telephone_number": "559-221-1680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 Pollasky Ave Ste D",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "CA",
            "postal_code": "936121159",
            "country_code": "US",
            "telephone_number": "559-203-3775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "512 N Court St",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932914913",
            "country_code": "US",
            "telephone_number": "559-754-3011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7575 N Cedar Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937202693",
            "country_code": "US",
            "telephone_number": "559-321-2322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "ANGELA",
        "middle_name": "LEIGH",
        "name_prefix": "Ms.",
        "credential": "MSW, ASW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-12",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW106541",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW106541",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.