Jose Gutierrez in Brockton - Clinical

Jose Gutierrez - NPI 1720197981

Jose Gutierrez is a Clinical in Brockton, Massachusetts. Jose Gutierrez practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jose Gutierrez is 1720197981. The last update date is 2007-07-08.

Jose Gutierrez's current location address is 940 Belmont St, Brockton, Massachusetts. You can contact this provider via phone number 5085834500. The mailing address for Jose Gutierrez is 940 Belmont St, Brockton, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Jose Gutierrez
Address 940 Belmont St, Brockton, Massachusetts
Phone Number 5085834500
Fax Number
Sole Proprietor N
Credentials MSW (LICSW

NPI Number Detail

NPI Number 1720197981
Provider Enumeration Date 2006-08-30
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 940 Belmont St
City Brockton
State Massachusetts (MA)
Post Code 23015596
Phone Number 5085834500
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 1023487
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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FAQs about Jose Gutierrez

What is the unique identifier code issued to Jose Gutierrez by the Centers for Medicare & Medicaid Services?

The Jose Gutierrez has been assigned the NPI (National Provider Identifier) 1720197981. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Jose Gutierrez's facilities are geographically located?

The facilities of Jose Gutierrez are physically situated at the following location: 940 Belmont St, Brockton, MA, 23015596.

What is Jose Gutierrez's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Jose Gutierrez is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.

On what date did the Jose Gutierrez receive the assignment of its 1720197981 from the Centers for Medicare & Medicaid Services?

The Jose Gutierrez was issued its 1720197981 by the Centers for Medicare & Medicaid Services on 2006-08-30.

As of what date was the information pertaining to Jose Gutierrez, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jose Gutierrez, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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