Active NPI
Amy Gutierrez, LCSW
- Clinical Social Worker
- Marysville, CA
National Provider Identifier
1376990390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 79617
- Practice address
- 215 5TH St
Marysville, CA 95901-0100 - Phone
- (530) 749-7356
- NPI assigned
- May 19, 2016
- Last updated
- Feb 28, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 79617 | CA | Primary |
Addresses
Primary practice location
215 5TH St
Marysville, CA 95901-0100
Mailing address
1830 Sierra Gardens Dr Ste 10
Roseville, CA 95661-2942
Phone (916) 786-3750
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79617 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Turning Point Community Programs | Past | Accepting new patients | |
| Turning Point Community Programs | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Roseville, CA
- NPI 1184160830
-
- Community/Behavioral Health Agency
- Roseville, CA
- NPI 1538324199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740700800000",
"number": "1376990390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1830 SIERRA GARDENS DR STE 10",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956612942",
"telephone_number": "916-786-3750",
"fax_number": "916-786-3751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 5TH ST",
"city": "MARYSVILLE",
"state": "CA",
"postal_code": "959010100",
"telephone_number": "530-749-7356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTIERREZ",
"first_name": "AMY",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-19",
"last_updated": "2025-02-28",
"certification_date": "2025-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "79617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marysville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.