Active NPI
Jamie Gutterman
- Social Worker
- Durham, NC
National Provider Identifier
1194194787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- P010049
- Practice address
- 1415 W NC Highway 54 Ste 121
Durham, NC 27707 - Phone
- (919) 401-2933
- Fax
- (919) 401-2994
- NPI assigned
- Sep 24, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | P010049 | NC | Primary |
Addresses
Primary practice location
1415 W NC Highway 54 Ste 121
Durham, NC 27707
Mailing address
1502 W NC Highway 54 Ste 103
Durham, NC 27707-5572
Phone (919) 354-0840
Other practice location 1
2670 Durham Chapel Hill Blvd
Durham, NC 27707-2829
Phone (919) 251-9001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Oct 1, 2019 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P010049 | NC | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jamie Gutterman LCSW PLLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Carrboro, NC
- NPI 1083177117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543968000000",
"number": "1194194787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1502 W NC HIGHWAY 54 STE 103",
"city": "DURHAM",
"state": "NC",
"postal_code": "277075572",
"telephone_number": "919-354-0840",
"fax_number": "919-748-4441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 W NC HIGHWAY 54 STE 121",
"city": "DURHAM",
"state": "NC",
"postal_code": "27707",
"telephone_number": "919-401-2933",
"fax_number": "919-401-2994"
}
],
"practiceLocations": [
{
"address_1": "2670 Durham Chapel Hill Blvd",
"address_purpose": "LOCATION",
"city": "Durham",
"state": "NC",
"postal_code": "277072829",
"country_code": "US",
"telephone_number": "919-251-9001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUTTERMAN",
"first_name": "JAMIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-24",
"last_updated": "2018-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NC",
"license": "P010049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.