Marie A Gutierrez-Diaz, MSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

M-11450 Issued in NM

Practice address

428 Los Lentes Rd SE # 3
Los Lunas, NM 87031-6018

Phone

(505) 865-3350

NPI assigned

Feb 4, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Marie A Gutierrez-Diaz Other name

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": "1612396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1265024889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 STOREY AVE",
            "city": "BELEN",
            "state": "NM",
            "postal_code": "870029203",
            "telephone_number": "505-388-4925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 LOS LENTES RD SE # 3",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870316018",
            "telephone_number": "505-865-3350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ-DIAZ",
        "first_name": "MARIE",
        "middle_name": "A",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-04",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "M-11450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "GUTIERREZ-DIAZ",
            "middle_name": "A",
            "credential": "MSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Social Worker in Los Lunas, NM
• Providers in Los Lunas, NM by specialty
• Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; 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.