Diana Concepcion Lopez Gutierrez, LCSW | |
1441 Heritage Blvd, Immokalee, FL 34142-2260 | |
(239) 658-3000 | |
Not Available |
Full Name | Diana Concepcion Lopez Gutierrez |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1441 Heritage Blvd, Immokalee, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811600034 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW20885 (Florida) | Primary |
Entity Name | Collier Health Services, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609827211 PECOS PAC ID: 4183521925 Enrollment ID: O20040210000106 |
Mailing Address | Practice Location Address |
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Diana Concepcion Lopez Gutierrez, LCSW 1454 Madison Ave W, Immokalee, FL 34142-2200 Ph: (239) 658-3000 | Diana Concepcion Lopez Gutierrez, LCSW 1441 Heritage Blvd, Immokalee, FL 34142-2260 Ph: (239) 658-3000 |
Christina Elaine Rene Harding Cruz, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3481 Carson Lakes Cir, Immokalee, FL 34142 Phone: 239-246-0177 | |
Laury Garcia, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3511 Carson Lakes Cir, Immokalee, FL 34142 Phone: 239-503-4827 | |
Jane J Darien, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 425 North First St, Immokalee, FL 34142 Phone: 239-657-4434 |