Individual provider Active NPI

Cynthia Yvette Gutierrez

  • Clinical Social Worker
  • Reseda, CA
National Provider Identifier
1679057384
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L121924 Issued in CA
Practice address
7101 Baird Ave
Reseda, CA 91335-4150
Phone
(818) 342-5897
NPI assigned
Sep 18, 2018
Last updated
Apr 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Clinical Social Worker 1041C0700X ASW95726 NU
Clinical Social Worker 1041C0700X ASW95726 CA
Clinical Social Worker 1041C0700X L121924 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

7101 Baird Ave
Reseda, CA 91335-4150

Mailing address

7101 Baird Ave
Reseda, CA 91335-4150
Phone (818) 342-5897

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ASW95726CAMDClinical Social Worker
L121924CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tarzana Treatment Centers, Inc. CurrentSince Apr 8, 2024 Accepting new patients
Tarzana Treatment Centers, Inc. Multi-Specialty Current Accepting new patients
Tarzana Treatment Centers, Inc. CurrentSince Apr 8, 2024 Accepting new patients

Locations

7101 Baird Ave
Reseda, CA 91335
Phone (818) 342-2897

18646 Oxnard St
Tarzana, CA 91356
Phone (818) 654-3815

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1679057384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 BAIRD AVE",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354150",
            "telephone_number": "818-342-5897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 BAIRD AVE",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354150",
            "telephone_number": "818-342-5897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "CYNTHIA",
        "middle_name": "YVETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-18",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": "ASW95726",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW95726",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "L121924",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reseda, CA

Sources for this page

Verify at the official NPI Registry.