Mireya P Gutierrez, MSW LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

309121 Issued in WI

Practice address

9201 W Watertown Plank Road
Milwaukee, WI 53226-3558

Phone

(414) 257-7377

Fax

(414) 454-4242

NPI assigned

Jun 6, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1212710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212710400000",
    "number": "1639338486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 W WATERTOWN PLANK ROAD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532263558",
            "telephone_number": "414-257-7377",
            "fax_number": "414-454-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 W WATERTOWN PLANK ROAD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532263558",
            "telephone_number": "414-257-7377",
            "fax_number": "414-454-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "MIREYA",
        "middle_name": "P",
        "name_prefix": "Ms.",
        "credential": "MSW LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-06",
        "last_updated": "2008-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "309121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10062926",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kasey Lynn Gussert, PHARMD
• Lorelei Louise Guszkowski, OTR
• Kanan Gutgutia, M.D.
• Justin B Guthman
• Tiffany Renee Guthrie
• Suzanne Gutierrez, AAS, SAC-IT
• Satya Kishore Gutta, MD
• David D Gutterman, MD
• Elizabeth K Gutzeit, DDS
• Claire M Guy, LCSW

• Clinical Social Worker in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; 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.