Larisa Gutierrez, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

091731 Issued in NY

Practice address

80-45 Winchester Boulevard, Building 21
Queens Village, NY 11427

Phone

(718) 739-2583

Fax

(718) 523-2728

NPI assigned

Dec 18, 2015

Last updated

Dec 18, 2015By the provider in NPPES

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": "1450396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450396800000",
    "number": "1174988091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80-45 WINCHESTER BOULEVARD, BUILDING 21",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "11427",
            "telephone_number": "718-739-2583",
            "fax_number": "718-523-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80-45 WINCHESTER BOULEVARD, BUILDING 21",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "11427",
            "telephone_number": "718-739-2583",
            "fax_number": "718-523-2728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "LARISA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-18",
        "last_updated": "2015-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "091731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie France Guilloux Sr.
• Saroj B Gulati, MD
• Rakesh Gupta, M.D.
• Christina E Guthenberg, RPHD
• Claudette May Guthrie
• Blaise Anthony Guzzardo, DDS
• GVG Pharmacy Inc. (Hollis Drugs & Surgicals)
• Dealia Gwaltney, LMSW
• Colin Hall
• Sashana Hall

• Social Worker in Queens Village, NY
• Providers in Queens Village, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2015; 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.