Teresa J Gutierrez, LISW is a
Social Worker - Clinical based in Mayfield Hts, Ohio. Teresa J Gutierrez is licensed to practice in Ohio (license number I4202) and her current practice location is
6009 Landerhaven Dr, Ste F, Mayfield Hts, Ohio. She can be reached at her office (for appointments etc.) via phone at
(440) 646-0671.
NPI number for Teresa J Gutierrez is 1508869504 and her current mailing address is 6009 Landerhaven Dr, Ste F, Mayfield Hts, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508869504.
Healthcare Provider's Profile
| Full Name | Teresa J Gutierrez |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 6009 Landerhaven Dr, Mayfield Hts, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1508869504
- Provider Enumeration Date: 05/23/2005
- Last Update Date: 10/17/2007
Medical Identifiers
Medical identifiers for Teresa J Gutierrez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508869504 | NPI | - | NPPES |
| 0005295036 | Other | OH | AETNA PIN |
| 000000168998 | Other | OH | ANTHEM PROV. ID |
| 341891557-001 | Other | OH | MED MUT OH PROV. NO. |
| V34189155767813 | Other | OH | HEALTHPARTNERS VENDOR NO. |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | I4202 (Ohio) | 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. Teresa J 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 |
|---|
Teresa J Gutierrez, LISW
6009 Landerhaven Dr, Ste F,
Mayfield Hts, OH 44124-4192
Ph: (440) 646-0671 | Teresa J Gutierrez, LISW
6009 Landerhaven Dr, Ste F,
Mayfield Hts, OH 44124-4192
Ph: (440) 646-0671 |
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