Ninnette Gutierrez, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS 23793 Issued in CA

Practice address

1136 Fremont Ave Ste 101
South Pasadena, CA 91030-3249

Phone

(310) 997-2697

NPI assigned

Feb 7, 2007

Last updated

Apr 24, 2020By the provider in NPPES

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

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": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587686400000",
    "number": "1275673543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 HUNTINGTON DR # 161",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910304512",
            "telephone_number": "310-997-2697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 FREMONT AVE STE 101",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910303249",
            "telephone_number": "310-997-2697"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11731 E. Telegraph Rd.",
            "address_2": "Building G",
            "address_purpose": "LOCATION",
            "city": "Santa Fe Springs",
            "state": "CA",
            "postal_code": "906703687",
            "country_code": "US",
            "telephone_number": "562-942-8256 x292",
            "fax_number": "562-942-9789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "NINNETTE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 23793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karina Guadron, MT
• Adriana Guarderas, AMFT
• Zoe Elizabeth Guertin
• Karen Julissa Guevara-Dominguez
• Lisa Gutierrez, M.S., M.A.
• Rebecca Gutierrez
• Shaunda Guy, AMFT120050
• Kristine Elizabeth Guzman-Hernandez
• Angel Guzman
• Bianca Guzman

• Clinical Social Worker in South Pasadena, CA
• Providers in South Pasadena, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; 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.