Iris V Gutierrez is a Clinical in Edgewood, Kentucky. Iris V Gutierrez practices all healthcare services and medical treatments related to Clinical. The NPI Number for Iris V Gutierrez is 1104975465. The last update date is 2018-03-17.
Iris V Gutierrez's current location address is 20 Medical Village Dr, Edgewood, Kentucky. You can contact this provider via phone number 8593415014 and fax number 8593415136. The mailing address for Iris V Gutierrez is 20 Medical Village Dr, Edgewood, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Iris V Gutierrez |
|---|---|
| Address | 20 Medical Village Dr, Edgewood, Kentucky |
| Phone Number | 8593415014 |
| Fax Number | 8593415136 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1104975465 |
|---|---|
| Provider Enumeration Date | 2007-01-09 |
| Last Updated Date | 2018-03-17 |
Provider Mailing Address Detail
| Address | 20 Medical Village Dr |
|---|---|
| City | Edgewood |
| State | Kentucky (KY) |
| Post Code | 410175401 |
| Phone Number | 8593415014 |
| Fax Number | 8593415136 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 3769 |
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Definition: 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, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7100274070 | KY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Iris V Gutierrez by the Centers for Medicare & Medicaid Services (CMS)?
The Iris V Gutierrez has been assigned the NPI (National Provider Identifier) 1104975465. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Iris V Gutierrez's facilities are geographically located?
The facilities of Iris V Gutierrez are physically situated at the following location: 20 Medical Village Dr, Edgewood, KY, 410175401.
What is the area of specialization for Iris V Gutierrez, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Iris V Gutierrez is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did Iris V Gutierrez receive its 1104975465 assignment from the Centers for Medicare & Medicaid Services?
The Iris V Gutierrez was assigned its 1104975465 on 2007-01-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Iris V Gutierrez most recently updated?
The details pertaining to the Iris V Gutierrez, including its address, specialty, and other relevant information, were last refreshed on 2018-03-17.
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