John Frank Gusman, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS11317 Issued in CA

Practice address

600 5TH Ave
San Rafael, CA 94901-3348

Phone

(415) 419-3634

NPI assigned

Sep 20, 2006

Sex

Male

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

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.

Opted out of Medicare

Yes, effective Jul 1, 2013 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210809600000",
    "number": "1407954571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 LINCOLN AVE STE 307",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949012143",
            "telephone_number": "415-454-2734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 5TH AVE",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013348",
            "telephone_number": "415-419-3634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSMAN",
        "first_name": "JOHN",
        "middle_name": "FRANK",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS11317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Soledad Guimoye, PSY.D.
• Jacqueline Chen Guo, MD
• Ernest Guomas, LMFT
• Bruce Fraser Gurganus, MFT
• Mary Ellen A Guroy, MD
• Estefany Gutierrez
• Melodee Ann Gutierrez, RCP
• Viviana Gutierrez
• Cara Gutterman, NP
• Billie Candreva Guttman, CRNA

• Clinical Social Worker in San Rafael, CA
• Providers in San Rafael, 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 May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.