Active NPI
Chelsea Gutierrez, LMSW
- Social Worker
- Santa Fe, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- M-08217
- Practice address
- 2960 Rodeo Park Dr W
Santa Fe, NM 87505-6351 - Phone
- (505) 986-9633
- NPI assigned
- Jan 15, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | M-08217 | NM | Primary |
Addresses
Primary practice location
2960 Rodeo Park Dr W
Santa Fe, NM 87505-6351
Mailing address
613 Lutheran LN
Las Vegas, NM 87701-4627
Phone (505) 718-0086
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160607000461 | NM | Practitioner - Clinical Social Worker | 7618267469 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sunrise Clinics
Practice addresses (Care Compare)
117 Camino de Vida
Suite 300
Santa Rosa, NM 88435-2267
Phone (575) 472-4311
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-08217 | NM | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunrise Clinics | Social Worker | Current | Accepting new patients |
Locations
901 Baca St
Las Vegas, NM 87701
Phone (505) 454-3218
2020 7th St
Las Vegas, NM 87701
Phone (505) 425-6731
166 Hospital Dr
Raton, NM 87740
Phone (505) 445-4111
117 Camino de Vida
Ste 300
Santa Rosa, NM 88435
Phone (575) 472-4311
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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Santa Rosa, NM
- NPI 1164055927
NM, Social Worker
-
- Student Health Clinic/Center
- Las Vegas, NM
- NPI 1194408625
-
- Federally Qualified Health Center (FQHC)
- Las Vegas, NM
- NPI 1376326942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389744000000",
"number": "1891117552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "613 LUTHERAN LN",
"city": "LAS VEGAS",
"state": "NM",
"postal_code": "877014627",
"telephone_number": "505-718-0086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2960 RODEO PARK DR W",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875056351",
"telephone_number": "505-986-9633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTIERREZ",
"first_name": "CHELSEA",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-15",
"last_updated": "2014-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NM",
"license": "M-08217",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; 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.