Individual provider Active NPI

Susan W. Gutwill, LCSW

  • Clinical Social Worker
  • Highland Park, NJ
National Provider Identifier
1720243231
Registry record updated Jul 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC01291300 Issued in NJ
Practice address
224 Valentine Street
Highland Park, NJ 08904
Phone
(732) 887-0848
Fax
(732) 545-8328
NPI assigned
Jul 23, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2016

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 44SC01291300 NJ Primary

Addresses

Primary practice location

224 Valentine Street
Highland Park, NJ 08904

Mailing address

224 Valentine Street
Highland Park, NJ 08904
Phone (732) 887-0848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469664000000",
    "number": "1720243231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 VALENTINE STREET",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "08904",
            "telephone_number": "732-887-0848",
            "fax_number": "732-545-8328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 VALENTINE STREET",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "08904",
            "telephone_number": "732-887-0848",
            "fax_number": "732-545-8328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTWILL",
        "first_name": "SUSAN",
        "middle_name": "W.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-23",
        "last_updated": "2016-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC01291300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; 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.