SERGIO I GUTIERREZ (NPI# 1558379776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558379776 |
| Entity Type | Individual |
| Full Name | SERGIO I GUTIERREZ |
| Credential | LCSW |
| Practice Address |
1 Lincoln Pkwy Ste 202 Hattiesburg MS 39402-3261 |
| Practice Telephone | 6012888050 |
| Mailing Telephone | 6012888050 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2009-04-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
C5728 | MS | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536982 | Sergio Gutierrez | Behavior Technician | 3303 Harbor Blvd., Suite B8, Costa Mesa, CA 92626 | 2020-10-22 |
| 1285284141 | Sergio Gutierrez | Community Health Worker | 11303 W Washington Blvd Ste 200, Los Angeles, CA 90066-6003 | 2019-09-12 |
| 1598011918 | Sergio Gutierrez | Dental Assistant | 3820 Sepulveda Blvd, Torrance, CA 90505-2408 | 2012-08-03 |
| 1376764951 | Sergio A Gutierrez | Counselor | 182 Sw Academy Street, Dallas, OR 97338 | 2007-05-01 |
| Street Address |
1 LINCOLN PKWY STE 202 |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39402-3261 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154351815 | Theresa P Woolbright | Nurse Practitioner | 1 Lincoln Pkwy Ste 202, Hattiesburg, MS 39402-3261 | 2006-07-05 |
| 1275710212 | Forrest County General Hospital | Nurse Practitioner | 1 Lincoln Pkwy Ste 202, Hattiesburg, MS 39402-3261 | 2008-01-22 |
| 1972642585 | Randall L Sherman | Psychiatry & Neurology | 1 Lincoln Pkwy Ste 202, Hattiesburg, MS 39402-3261 | 2007-02-06 |
| 1578602199 | Donna Dimarco Tomlinson | Nurse Practitioner | 1 Lincoln Pkwy Ste 202, Hattiesburg, MS 39402-3261 | 2007-02-06 |
| 1447356902 | South Mississippi Health Service, Inc | Psychologist | 1 Lincoln Pkwy Ste 202, Hattiesburg, MS 39402-3261 | 2006-09-15 |
| 1689780421 | Shelley S Cochran | Nurse Practitioner | 1 Lincoln Pkwy Ste 202, Hattiesburg, MS 39402-3261 | 2006-08-22 |
| 1447366190 | Kenneth D Mcgill | Marriage & Family Therapist | 1 Lincoln Pkwy Ste 202, Hattiesburg, MS 39402-3261 | 2006-08-22 |
| 1982717997 | Deborah Virginia Gross | Psychiatry & Neurology | 1 Lincoln Pkwy Ste 202, Hattiesburg, MS 39402-3261 | 2006-08-16 |
| 1174636195 | Joanna Michelle Hardy | Nurse Practitioner | 1 Lincoln Pkwy Ste 202, Hattiesburg, MS 39402-3261 | 2006-08-16 |
| 1255356044 | Teresa Gayle Mulvihill | Psychiatry & Neurology | 1 Lincoln Pkwy Ste 202, Hattiesburg, MS 39402-3261 | 2006-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572965 | Resilient Therapy and Solutions, Pllc | Clinic/Center | 5266 Old Hwy 11 Ste 50, #308, Hattiesburg, MS 39402 | 2020-09-12 |
| 1932710225 | Jones County Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 6424 Hwy 98 West, Suite 20, Hattiesburg, MS 39402 | 2020-08-11 |
| 1467086736 | Elizabeth A. Perry | Technician | 1220 Marrie St, Hattiesburg, MS 39402 | 2020-02-26 |
| 1225678063 | Connor Gregory Galloway | Physical Therapist | 3688 Veteran Memorial Drive, Hattiesburg, MS 39402 | 2020-01-09 |
| 1487291456 | Megan Marie Smith | Social Worker | 11 Woodstone Plaza, Hattiesburg, MS 39402 | 2019-12-09 |
| 1821656612 | Julie Covington Mcmahan | Dentist | 100 Madison Plaza, Hattiesburg, MS 39402 | 2019-06-05 |
| 1295392074 | Hattiesburg Clinic, Pa | Preventive Medicine | 6414 Highway 98, Suite 120, Hattiesburg, MS 39402 | 2019-05-28 |
| 1760945356 | Rachandeep Chahal | Student in an Organized Health Care Education/Training Program | 5001 Hardy Street Merit Health Wesley, Hattiesburg, MS 39402 | 2019-04-10 |
| 1386101137 | Courtney L Smith | Behavior Technician | 32 Millbanch Road, Suite 40, Hattiesburg, MS 39402 | 2019-02-28 |
| 1891269940 | Amanda Laine Mcarthur-macisaac | Registered Nurse | 5909 Highway 49 South, Suite 30, Hattiesburg, MS 39402 | 2019-01-11 |
| Find all providers in zip 39402 | ||||
| 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 |
|---|---|---|---|---|
| 1962019745 | Jennifer Baker Sheridan | Social Worker | 615 W Pine St, Hattiesburg, MS 39401-3835 | 2020-09-25 |
| 1982214458 | Devin Ariel Williams | Social Worker | 1246 Beverly Hills Rd Apt 306, Hattiesburg, MS 39401-4483 | 2020-08-08 |
| 1366958399 | Sharon Griffin | Social Worker | 5891 U S Highway 49 Ste 60-198, Hattiesburg, MS 39402-2810 | 2017-12-28 |
| 1073900544 | Tara Fulton | Social Worker | 707 Corinne St, Hattiesburg, MS 39401-3854 | 2015-04-22 |
| 1326462169 | Amanda M. Heitmuller | Social Worker | 1110 Estelle St, Hattiesburg, MS 39402-2714 | 2014-02-14 |
| 1669805883 | Judith Rebecca Hartfield | Social Worker | 7 Professional Pkwy Ste 103, Hattiesburg, MS 39402-2648 | 2013-08-12 |
| 1306132717 | Deborah N Graham | Social Worker | 913 S Tipton St, Hattiesburg, MS 39401-2729 | 2011-06-23 |
| 1679883409 | Shana Marlene Keyes | Social Worker | 4010 O'ferral Street, Suite 110, Hattiesburg, MS 39402 | 2010-10-14 |
| 1184958902 | Heather J Wilkes | Social Worker | 207 3rd Ave, Hattiesburg, MS 39401-3868 | 2009-09-25 |
| 1467684191 | Sheila R Priestley | Social Worker | 125 Pinehills Dr, Hattiesburg, MS 39402-3316 | 2009-08-13 |
| Find all providers in HATTIESBURG | ||||
| City | HATTIESBURG |
| Zip Code | 39402 |
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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.