Maria Theresa Barrera Gutierrez, LCSW is a
Counselor - Addiction (substance Use Disorder) based in Green Bay, Wisconsin. Maria Theresa Barrera Gutierrez is licensed to practice in Wisconsin (license number 19627-130) and her current practice location is
790 Marvelle Ln Ste 1, Green Bay, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 264-5031.
NPI number for Maria Theresa Barrera Gutierrez is 1659020097 and her current mailing address is 790 Marvelle Ln Ste 1, Green Bay, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1659020097.
Healthcare Provider's Profile
| Full Name | Maria Theresa Barrera Gutierrez |
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| Gender | Female |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 790 Marvelle Ln Ste 1, Green Bay, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1659020097
- Provider Enumeration Date: 03/22/2022
- Last Update Date: 10/03/2025
Medical Identifiers
Medical identifiers for Maria Theresa Barrera Gutierrez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1659020097 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 12615-123 (Wisconsin) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 19627-130 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Maria Theresa Barrera Gutierrez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Maria Theresa Barrera Gutierrez, LCSW 790 Marvelle Ln Ste 1, Green Bay, WI 54304-4683 Ph: (920) 264-5031 | Maria Theresa Barrera Gutierrez, LCSW 790 Marvelle Ln Ste 1, Green Bay, WI 54304-4683 Ph: (920) 264-5031 |
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