Individual provider Active NPI

Linda Gutterman, LCSW, OTR

  • Clinical Social Worker
  • Rhinebeck, NY
National Provider Identifier
1356409254
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
077143 Issued in NY
Practice address
24 Buist Rd
Rhinebeck, NY 12572-2078
Phone
(917) 364-6270
Fax
(845) 876-0652
NPI assigned
Dec 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 077143 NY Primary

Addresses

Primary practice location

24 Buist Rd
Rhinebeck, NY 12572-2078

Mailing address

24 Buist Rd
Rhinebeck, NY 12572-2078
Phone (917) 364-6270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20110407000071 NY Practitioner - Clinical Social Worker 6305020876 Practice locations: Rhinebeck, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

24 Buist Rd
Rhinebeck, NY 12572-2078
Phone (917) 364-6270

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
077143NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Disability Services Past Accepting new patients
Catskill Family Institute - Counseling Center Clinical Past Accepting new patients

Organizations & group practices 2

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421798400000",
    "number": "1356409254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 BUIST RD",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125722078",
            "telephone_number": "917-364-6270",
            "fax_number": "845-876-0652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 BUIST RD",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125722078",
            "telephone_number": "917-364-6270",
            "fax_number": "845-876-0652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTTERMAN",
        "first_name": "LINDA",
        "credential": "LCSW, OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2015-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "077143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rhinebeck, NY

Sources for this page

Verify at the official NPI Registry.