Individual provider Active NPI

Kelly Elisabeth Gutowski, LCSW

  • Clinical Social Worker
  • Glendale, AZ
National Provider Identifier
1497989495
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW23257 Issued in AZ
Practice address
20118 N 67TH Ave Ste 300-193
Glendale, AZ 85308-4621
Phone
(480) 974-9251
NPI assigned
May 6, 2009
Reactivated
Jan 13, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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 LCSW23257 AZ Primary

Addresses

Primary practice location

20118 N 67TH Ave Ste 300-193
Glendale, AZ 85308-4621

Mailing address

20118 N 67TH Ave Ste 300-193
Glendale, AZ 85308-4621
Phone (480) 974-9251

Other names 1

  • Ms. Kelly Elisabeth Wenzel Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW23257AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rise and Renew Wellness PLLC Clinical CurrentSince Nov 9, 2025 Accepting new patients
Open Doors Counseling, Coaching and Consulting CurrentSince Sep 27, 2020 Accepting new patients
New Horizons Counseling Service Inc. Past Accepting new patients
New Horizons Counseling Service Inc. Past Accepting new patients

Locations

20118 N 67th Ave
Ste 300193
Glendale, AZ 85308
Phone (480) 974-9251

21640 N 19th Ave
Ste C9
Phoenix, AZ 85027
Phone (602) 499-9952

Organizations & group practices 4

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": "1241568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1497989495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20118 N 67TH AVE STE 300-193",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853084621",
            "telephone_number": "480-974-9251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20118 N 67TH AVE STE 300-193",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853084621",
            "telephone_number": "480-974-9251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTOWSKI",
        "first_name": "KELLY",
        "middle_name": "ELISABETH",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-06",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "deactivation_date": "2023-05-22",
        "reactivation_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW23257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "WENZEL",
            "middle_name": "ELISABETH",
            "prefix": "MS.",
            "credential": "L.M.S.W.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; 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.