MS. IRIS V GUTIERREZ (NPI# 1104975465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104975465 |
| Entity Type | Individual |
| Full Name | MS. IRIS V GUTIERREZ |
| Credential | LCSW |
| Practice Address |
1306 Versailles Rd Ste 120 Lexington KY 40504-1795 |
| Mailing Address |
20 Medical Village Dr Suite 107 Edgewood KY 41017-5401 |
| Practice Telephone | 8592592635 |
| Practice Fax Number | 8592547874 |
| Mailing Telephone | 8593415014 |
| Mailing Fax Number | 8593415136 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
3769 | KY | Behavioral Health & Social Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | 5078 | KY | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100274070 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 151 N Eagle Creek Dr Ste 220, Lexington, KY 405091892 | 8592632507 | 8592547874 |
| 20 Medical Village Dr, Suite 107, Edgewood, KY 410175401 | 8593415014 | 8593415136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808001 | Iris Esmeralda Gutierrez | Pharmacist | 3343 S Leavitt St, Chicago, IL 60608-6018 | 2020-10-12 |
| 1346715398 | Iris Lizet Gutierrez | Behavior Technician | 264 Landis Ave Ste 200, Chula Vista, CA 91910-2651 | 2018-10-05 |
| 1457591703 | Iris N. Gutierrez | Social Worker | 622 W 168th St, New York, NY 10032-3720 | 2009-02-26 |
| Street Address |
1306 VERSAILLES RD STE 120 |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40504-1795 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164403762 | Patrick D Hughes | Nurse Practitioner | 1306 Versailles Rd Ste 120, Lexington, KY 40504 | 2005-11-10 |
| 1598377194 | Elizabeth Kinney | Nurse Practitioner | 1306 Versailles Rd Ste 120, Lexington, KY 40504-1795 | 2020-08-17 |
| 1215567474 | Bluegrass Primary Health Care Center, Inc. | Family Medicine | 1306 Versailles Rd Ste 120, Lexington, KY 40504-1795 | 2020-01-16 |
| 1811484389 | Richard William London | Physician Assistant | 1306 Versailles Rd Ste 120, Lexington, KY 40504-1795 | 2018-04-19 |
| 1467975649 | Deana Underwood | Nurse Practitioner | 1306 Versailles Rd Ste 120, Lexington, KY 40504-1795 | 2017-07-19 |
| 1023550480 | Zachary D Rawlings | Social Worker | 1306 Versailles Rd Ste 120, Lexington, KY 40504-1795 | 2016-11-15 |
| 1659795243 | Olga Maria Skinner | Nurse Practitioner | 1306 Versailles Rd Ste 120, Lexington, KY 40504-1795 | 2014-02-18 |
| 1447424536 | Debra G Wilson | Counselor | 1306 Versailles Rd Ste 120, Lexington, KY 40504-1795 | 2008-04-18 |
| 1194949156 | Julie B Perry | Registered Nurse | 1306 Versailles Rd Ste 120, Lexington, KY 40504-1795 | 2007-04-12 |
| 1558401836 | Kelly N Moore | Social Worker | 1306 Versailles Rd Ste 120, Lexington, KY 40504-1795 | 2007-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740809953 | Michael Jason Blocker | Registered Nurse | 1 St Hoseph Drive, Lexington, KY 40504 | 2020-04-09 |
| 1841842010 | Jessica Brooke Castleberry | Counselor | Chrysalis House, Inc., 1589 Hill Rise Drive, Lexington, KY 40504 | 2019-07-09 |
| 1528554474 | Hillcrest Pain & Spine Pllc | Pain Medicine | 853 Lane Allen Rd Ste 217, Lexington, KY 40504 | 2018-07-03 |
| 1366962474 | Jessica Hope King | Dentist | 1330 Harrodsburg Road, Lexington, KY 40504 | 2017-06-21 |
| 1255861076 | Mary Elizabeth Bailey | Dentist | 1330 Harrodsburg Rd, Lexington, KY 40504 | 2017-06-14 |
| 1295172211 | Alan Kidon | Podiatrist | 1401 Harrodsburg Rd Ste C115, Lexington, KY 40504 | 2013-05-31 |
| 1578847554 | Linda W Mcdaniel | Pharmacist | 2181 Harrodsburg Road, Lexington, KY 40504 | 2011-10-07 |
| 1578844197 | Amber Kincaid Ballard | Nurse Practitioner | Uk Healthcare Team Blue Primary Care Clinic, 2400 Great Stone Point, Lexington, KY 40504 | 2011-09-09 |
| 1104118124 | Harry W Tenfelde IIi | Pharmacist | 2284 Versailles Rd., Lexington, KY 40504 | 2011-05-10 |
| 1831495506 | Horizon Headache Center, Pllc | Physical Therapist | 2365 Harrodsburg Road, Suite B-100, Lexington, KY 40504 | 2011-01-28 |
| Find all providers in zip 40504 | ||||
| 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 |
|---|---|---|---|---|
| 1154929362 | Linda Flynn Lengal | Social Worker | 3600 Winthrop Dr Apt 9211, Lexington, KY 40514-1871 | 2020-10-12 |
| 1689283202 | Jenny K Delap | Social Worker | 202 E Vista St, Lexington, KY 40503-1327 | 2020-07-29 |
| 1487279204 | Open Doors of Hope | Social Worker | 736 Burgess Ave, Lexington, KY 40511-1571 | 2020-06-09 |
| 1346861911 | Crossroads Behavioral Health, Inc. | Social Worker | 409 W New Circle Rd, Lexington, KY 40511-1832 | 2020-05-05 |
| 1033739446 | Emma Simone Rava | Social Worker | 205 Hickory Hill Rd, Lexington, SC 29072-9344 | 2020-04-26 |
| 1790305738 | Kimberly Ann Cook-lee | Social Worker | 342 Waller Ave Ste 1d, Lexington, KY 40504-2922 | 2020-04-20 |
| 1477172054 | Evolve Counseling, LLC | Social Worker | 80 Codell Dr Ste 220, Lexington, KY 40509-1178 | 2020-04-13 |
| 1689213761 | Justin Waldo | Social Worker | Lexington Va Medical Center, 1101 Veteran's Drive, Lexington, KY 40502 | 2020-01-06 |
| 1467091744 | We Support Seniors, L.L.C. | Social Worker | 56 Mentelle Park, Lexington, KY 40502-1512 | 2020-01-03 |
| 1619513405 | Wallace E. Bellis | Social Worker | 138 Leader Ave Ste 129d, Lexington, KY 40508-3215 | 2019-11-27 |
| Find all providers in LEXINGTON | ||||
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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.