Antonio Taiga Guterres

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW228979 Issued in MA

Practice address

233 Harvard St Ste 339
Brookline, MA 02446-5032

Phone

(617) 798-0923

NPI assigned

Aug 6, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Antonio Taiga Guterres Other name

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": "1628208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1710651302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 SEVEN OAKS RD",
            "city": "NORTH BILLERICA",
            "state": "MA",
            "postal_code": "018621124",
            "telephone_number": "626-354-2530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 HARVARD ST STE 339",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465032",
            "telephone_number": "617-798-0923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTERRES",
        "first_name": "ANTONIO TAIGA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-06",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LCSW228979",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANTONIO",
            "last_name": "GUTERRES",
            "middle_name": "TAIGA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Yiqun Guo
• Reena Gupta, MD
• Tanya Terry Gurian, APRN, BC
• Katrina Gurvits, D.C.
• Elyssa Gustin, PSY.D.
• Louise Gutheil, LICSW MSW
• Margaret Elizabeth Guyer, PHD
• Mamuka Gventsadze
• Tyler Louise Haaren
• Melissa Haas, DPT

• Clinical Social Worker in Brookline, MA
• Providers in Brookline, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.