Active NPI
Susan Gutierrez
- Clinical Social Worker
- Jackson, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801115039
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Ingham | Current | Accepting new patients | |
| County of Ingham | Current | Accepting new patients | |
| Community Mental Health Authority of Clinton Eaton Ingham Counties | Current | 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
- susan.gutierrez.p1@direct.ichd.nextgenshare.com
- 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lansing, MI
- NPI 1265483457
-
- Federally Qualified Health Center (FQHC)
- Lansing, MI
- NPI 1568560308
-
- Federally Qualified Health Center (FQHC)
- Lansing, MI
- NPI 1679130942
-
- Public Health or Welfare Agency
- Lansing, MI
- NPI 1902453145
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.