Lizzie Gutierrez, LCSW-A

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P013429 Issued in NC

Practice address

159 Maxwell St RM 6
Fayetteville, NC 28301-5592

Phone

(910) 758-8778

NPI assigned

Aug 1, 2019

Last updated

Feb 3, 2020By the provider in NPPES

Sex

Female

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1548814064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2737 MOSQUERA DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283065381",
            "telephone_number": "910-299-6643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 MAXWELL ST RM 6",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283015592",
            "telephone_number": "910-758-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "LIZZIE",
        "credential": "LCSW-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-01",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P013429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ananda Reddy Gurram, M.D.
• Anju Gurung
• Bikash Gurung, LPCA
• Lisa Gushin, D.D.S.
• Lacey J Gutierrez, M.S., RBT, ITFS
• Laura Elizabeth Gutman, MD
• Caron Dawn Gutovitz, M.D.
• Molly Lynn Guy, DDS
• Stephanie L Guzman
• Noelle L Hackney, CRNA

• Clinical Social Worker in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; 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.