Irma Citlalli Gutierrez, MSW, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P019231 Issued in NC

Practice address

110 Unionville Indian Trail Rd
Ste.-C100
Indian Trail, NC 28079

Phone

(704) 438-9901

NPI assigned

Feb 19, 2025

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

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": "1739923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1902602238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8416 AMELIA DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282129005",
            "telephone_number": "980-939-4230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 UNIONVILLE INDIAN TRAIL RD",
            "address_2": "STE.-C100",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "28079",
            "telephone_number": "704-438-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "IRMA",
        "middle_name": "CITLALLI",
        "credential": "MSW, LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-19",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P019231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pebbles Griffin-Dockery
• Carrie L Griffiths, PHARM.D.
• Inna Gritsay
• Katie Guelcher
• Jennifer Lynn Gustafson, OTR/L
• Kimberly Guy
• Julia Hahn, PT
• Karen Elizabeth Hahner, M.S. CCC/SLP
• Dawn Marie Hale, FNP
• Chloe Parisse Hallahan

• Clinical Social Worker in Indian Trail, NC
• Providers in Indian Trail, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.