Individual provider Active NPI

Dennis Guttsman, LCSW

  • Clinical Social Worker
  • Staten Island, NY
National Provider Identifier
1609946532
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PR106616-1 Issued in NY
Practice address
11 Pearl St
Staten Island, NY 10304-2123
Phone
(718) 442-2078
Fax
(718) 442-2078
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PR106616-1 NY Primary

Addresses

Primary practice location

11 Pearl St
Staten Island, NY 10304-2123

Mailing address

11 Pearl St
Staten Island, NY 10304-2123
Phone (718) 442-2078

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070824000652 NY Practitioner - Clinical Social Worker 1557453271 Practice locations: Staten Island, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11 Pearl St
Staten Island, NY 10304-2123
Phone (718) 442-2078

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PR106616-1NYMDClinical Social Worker
016616NYMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609946532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 PEARL ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042123",
            "telephone_number": "718-442-2078",
            "fax_number": "718-442-2078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 PEARL ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042123",
            "telephone_number": "718-442-2078",
            "fax_number": "718-442-2078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTTSMAN",
        "first_name": "DENNIS",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR106616-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.