MRS. KELLY ELISABETH GUTOWSKI (NPI# 1497989495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497989495 |
| Entity Type | Individual |
| Full Name | MRS. KELLY ELISABETH GUTOWSKI |
| Other Name | MS. KELLY ELISABETH WENZEL |
| Credential | LCSW |
| Practice Address |
21640 N. 19th Ave Ste C9 Phoenix AZ 85027 |
| Practice Telephone | 6024999952 |
| Practice Fax Number | 6234343514 |
| Mailing Telephone | 6024999952 |
| Mailing Fax Number | 6234343514 |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2020-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW12929 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
21640 N. 19TH AVE STE C9 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861009938 | Open Doors Counseling, Coaching and Consulting | Counselor | 21640 N. 19th Ave, Suite C9, Phoenix, AZ 85027 | 2020-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306312 | Ashley Nicole Felipe | Registered Nurse | 25700 N 21st Ave, Phoenix, AZ 85027 | 2020-08-10 |
| 1942784376 | Crystal Rodriguez | Dentist | 2550 W Union Hills Dr Ste 201, Phoenix, AZ 85027 | 2018-09-21 |
| 1790284776 | Lydia Kuuipo Chong | Nurse Practitioner | 20414 N 27th Ave #300, Phoenix, AZ 85027 | 2018-02-06 |
| 1457867004 | Kristi Marie Mathews | Nurse Practitioner | 19829 N 29th Avenue, Phoenix, AZ 85027 | 2017-12-19 |
| 1710348362 | The Empower House, LLC | Community Based Residential Treatment Facility, Mental Illness | 18631 N. 19th Ave., Suite 158-305, Phoenix, AZ 85027 | 2016-03-10 |
| 1972979656 | Dr Daniel H Yohannes D.d.s., PC | Dentist | 602 W. Union Hills Dr, #8, Phoenix, AZ 85027 | 2015-08-17 |
| 1013346857 | Dentistry At 35th Avenu | Dentist | 18635 N 35th Avenue, Phoenix, AZ 85027 | 2013-11-02 |
| 1437592102 | Ammar Alobaidy | Psychiatry & Neurology | 21410 N 19th Ave Ste 151, Phoenix, AZ 85027 | 2013-04-12 |
| 1588900021 | Jill Elizabeth Maroscia | Social Worker | 19636 N 27th Ave #106, Phoenix, AZ 85027 | 2013-01-02 |
| 1124394515 | Sfjg Holdings LLC | Dentist | 3414 W. Union Hills Dr, Suite 12 & 14, Phoenix, AZ 85027 | 2012-03-29 |
| Find all providers in zip 85027 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679173181 | Jill M Robinson | Social Worker | 8804 N. 23rd Ave, Bldg. A Ste. A01-a02, Phoenix, AZ 85021 | 2020-10-26 |
| 1376141697 | Kristen Beuchat Alaniz | Social Worker | 2520 W Brookhart Way, Phoenix, AZ 85085-3725 | 2020-10-09 |
| 1780281659 | Robin Slavit | Social Worker | 5550 E Deer Valley Dr Apt 426, Phoenix, AZ 85054-5673 | 2020-10-05 |
| 1053934554 | Andrea Durand | Social Worker | 1918 W Bonanza Ln, Phoenix, AZ 85085-1727 | 2020-05-19 |
| 1841819125 | Hohokimel Thwajik Ki, LLC | Social Worker | 4114 N 28th St Apt 3005, Phoenix, AZ 85016-5779 | 2020-04-16 |
| 1104459973 | Ingrid Roxana Mejia | Social Worker | 1038 E Colter St, Phoenix, AZ 85014-2622 | 2020-02-19 |
| 1710533435 | Traci Andes | Social Worker | 8841 N 1st St Ste B, Phoenix, AZ 85020-2801 | 2019-08-18 |
| 1477107308 | Ralph Crudup Jr. | Social Worker | 6149 N 23rd Ave, Phoenix, AZ 85015-1821 | 2019-07-29 |
| 1255896593 | Cindy Eileen Penka-shack | Social Worker | 4531 E Danbury Rd, Phoenix, AZ 85032-2367 | 2019-01-31 |
| 1346723368 | Nathan Rehm | Social Worker | 3332 N 25th St, Phoenix, AZ 85016-7425 | 2018-09-14 |
| Find all providers in PHOENIX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.