Maria Fernanda Gutierrez, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

13856 Issued in KS

Practice address

21 Plaza Dr Ste 7
Liberal, KS 67901-2791

Phone

(575) 708-0202

NPI assigned

Aug 12, 2024

Last updated

Aug 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Practice roles

Locations

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.

• Coffee Talk Counseling

  • Clinical Social Worker
  • Liberal, KS
  • NPI 1477294791
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1386475382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 DON ST",
            "city": "KISMET",
            "state": "KS",
            "postal_code": "678599622",
            "telephone_number": "620-556-9557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 PLAZA DR STE 7",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "679012791",
            "telephone_number": "575-708-0202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "509 Don St",
            "address_purpose": "LOCATION",
            "city": "Kismet",
            "state": "KS",
            "postal_code": "678599622",
            "country_code": "US",
            "telephone_number": "620-556-9557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "MARIA",
        "middle_name": "FERNANDA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "13856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Social Worker in Liberal, KS
• Providers in Liberal, KS by specialty
• Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.