Stephanie A. Gutz, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I-06602 Issued in NM

Practice address

1219 Gusdorf Rd.
Suite E
Taos, NM 87571-6499

Phone

(575) 779-3391

NPI assigned

Jul 6, 2006

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

Enrolled in NM

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

Specialty

Clinical Social Worker

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Stephanie Gutz, Inc.

  • Clinical Social Worker
  • Taos, NM
  • NPI 1689097941
  Medicare reassignment Authorized official
• SG Flourishes, Inc.

  • Clinical Social Worker
  • Taos, NM
  • NPI 1932436052
  NPD (past) Authorized official

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383264000000",
    "number": "1619909207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1077",
            "city": "EL PRADO",
            "state": "NM",
            "postal_code": "875291077",
            "telephone_number": "575-779-3391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 GUSDORF RD.",
            "address_2": "SUITE E",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716499",
            "telephone_number": "575-779-3391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTZ",
        "first_name": "STEPHANIE",
        "middle_name": "A.",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2013-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-06602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lesly Guerrero
• Roberta A Gurule, CASE MANAGER
• Andrea Renee Gutierrez, DPT
• Ray Gutierrez
• Dan Guttmann, M.D.
• Habitat for Humanity of Taos, Inc.
• June Marie Hacker, PT
• Nakeesha Haelen, LCSW
• Tari Lynn Hagan, LISW
• Hahn Counseling

• Clinical Social Worker in Taos, NM
• Providers in Taos, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.