Active NPI
Alyssa Gutierrez
- Social Worker
- Greenbelt, MD
National Provider Identifier
1972188688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 30525
- Practice address
- 7474 Greenway Center Dr Ste 730
Greenbelt, MD 20770-3523 - Phone
- (301) 345-1022
- NPI assigned
- Mar 15, 2021
- Last updated
- Sep 25, 2024
- 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 | 30525 | MD | Primary |
Addresses
Primary practice location
7474 Greenway Center Dr Ste 730
Greenbelt, MD 20770-3523
Mailing address
11810 Macon St
Beltsville, MD 20705-1506
Phone (301) 742-5164
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30525 | MD | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727222400000",
"number": "1972188688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11810 MACON ST",
"city": "BELTSVILLE",
"state": "MD",
"postal_code": "207051506",
"telephone_number": "301-742-5164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7474 GREENWAY CENTER DR STE 730",
"city": "GREENBELT",
"state": "MD",
"postal_code": "207703523",
"telephone_number": "301-345-1022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTIERREZ",
"first_name": "ALYSSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-15",
"last_updated": "2024-09-25",
"certification_date": "2024-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "30525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenbelt, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.