Individual provider Active NPI

Susan Gutierrez

  • Clinical Social Worker
  • Jackson, MI
National Provider Identifier
1255760591
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801115039 Issued in MI
Practice address
205 N East Ave
Jackson, MI 49201-1753
Phone
(517) 205-4178
NPI assigned
Nov 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Clinical Social Worker 1041C0700X 6801115039 MI Primary

Addresses

Primary practice location

205 N East Ave
Jackson, MI 49201-1753

Mailing address

115 N MLK Blvd
Lansing, MI 48915-1715
Phone (810) 689-0371

Other practice location 1

2280 E Grand River Ave
Howell, MI 48843-8503
Phone (517) 546-4126

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230821002930 MI Practitioner - Clinical Social Worker 3173985280 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
County of Ingham CurrentSince Jul 7, 2025 Accepting new patients
County of Ingham CurrentSince Jul 7, 2025 Accepting new patients
Community Mental Health Authority of Clinton Eaton Ingham Counties CurrentSince Dec 21, 2025 Accepting new patients
County of Ingham Current Accepting new patients

Locations

228 S Cochran Ave
Charlotte, MI 48813
Phone (517) 543-5100

3900 Stabler St
Rm 7
Lansing, MI 48910
Phone (517) 272-4104

5303 S Cedar St
Lansing, MI 48911
Phone (517) 887-4302

626 Marshall St
Ste 800
Lansing, MI 48912
Phone (517) 244-8014

1601 E Kalamazoo St
Lansing, MI 48912
Phone (517) 679-2880

333 Dahlia Dr
Rm E315
Lansing, MI 48911
Phone (517) 272-4115

102 McPherson Ave
Lansing, MI 48915
Phone (517) 244-8041

2316 S Cedar St
Lansing, MI 48910
Phone (517) 702-4130

812 E Jolly Rd
Lansing, MI 48910
Phone (517) 237-7162

815 N Fairview Ave
Rm 100
Lansing, MI 48912
Phone (517) 244-8019

812 E Jolly Rd
Ste 216
Lansing, MI 48910
Phone (517) 346-9525

1115 S Pennsylvania Ave
Lansing, MI 48912
Phone (517) 346-4700

812 E Jolly Rd
Ste 210
Lansing, MI 48910
Phone (517) 237-7162

Interoperability endpoints

  • Direct secure messaging: susan.gutierrez.p1@direct.ichd.nextgenshare.com
  • Direct secure messaging: sgutierrez857097@direct.hfhs.org

Organizations & group practices 4

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": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1255760591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 N MLK BLVD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489151715",
            "telephone_number": "810-689-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N EAST AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011753",
            "telephone_number": "517-205-4178"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2280 E Grand River Ave",
            "address_purpose": "LOCATION",
            "city": "Howell",
            "state": "MI",
            "postal_code": "488438503",
            "country_code": "US",
            "telephone_number": "517-546-4126",
            "fax_number": "517-546-1300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "SUSAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-07",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801115039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.