CARLOS RUBEN GUTIERREZ (NPI# 1518211903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518211903 |
| Entity Type | Individual |
| Full Name | CARLOS RUBEN GUTIERREZ |
| Credential | LCSW |
| Practice Address |
350 Martha Ave Bellport NY 11713-1525 |
| Mailing Address |
6 Montana Ct Coram NY 11727-1515 |
| Practice Telephone | 6312866923 |
| Mailing Telephone | 6315130264 |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2012-11-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
08011-1 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821518960 | Carlos Gutierrez | Assisted Living Facility | 8233 Drycreek Dr, Tampa, FL 33615-1207 | 2017-06-20 |
| 1346487410 | Carlos Alberto Gutierrez | Case Manager/Care Coordinator | 760 Harrison, San Francisco, CA 94107-3104 | 2009-01-12 |
| 1932293909 | Carlos M Gutierrez | Dentist | 3420 Aldine Mail Rte, Houston, TX 77039-4636 | 2006-10-03 |
| 1922042985 | Carlos Abraham Gutierrez | Pediatrics | 2325 Pershing Dr, El Paso, TX 79903-3608 | 2006-06-16 |
| 1528493657 | Carlos Gutierrez | Counselor | 1205 4th St, Key West, FL 33040-3707 | 2013-09-09 |
| 1366883365 | Carlos Alberto Gutierrez Jr. | Internal Medicine | 3401 N Broad St, Stephanie Ragsdale, Philadelphia, PA 19140-5103 | 2013-07-08 |
| 1750620233 | Carlos Martin Gutierrez | Rehabilitation Practitioner | 37 W Kraft Ave, North Las Vegas, NV 89031-2596 | 2013-02-04 |
| 1841538170 | Carlos Mitchell Gutierrez | Rehabilitation Practitioner | 770 W Lone Mountain Rd, Apt # 2128, North Las Vegas, NV 89031-3008 | 2013-01-21 |
| 1861756603 | Carlos A Gutierrez | Dentist | 4001 S Ocean Dr, Apt 9g, Hollywood, FL 33019-3019 | 2012-06-26 |
| 1639330699 | Carlos Alberto Gutierrez | Family Medicine | 22121 Fm 1093 Rd, Richmond, TX 77407-2140 | 2008-06-23 |
| Street Address |
350 MARTHA AVE |
| City | BELLPORT |
| State | NY |
| Zip Code | 11713-1525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447568001 | Susan Lynne Roeller | Social Worker | 350 Martha Ave, Bellport, NY 11713-1525 | 2010-09-16 |
| 1295247807 | Meri Blandi | Social Worker | 350 Martha Ave, Bellport, NY 11713-1525 | 2017-11-05 |
| 1154747152 | Dana Thomson | Psychologist | 350 Martha Ave, Bellport, NY 11713-1525 | 2014-03-14 |
| 1679811293 | Brookhaven Memorial Hospital Medical Center | Clinic/Center | 350 Martha Ave, Bellport, NY 11713-1525 | 2013-01-17 |
| 1386903987 | Eustache Junior Romain | Licensed Practical Nurse | 350 Martha Ave, Bellport, NY 11713-1525 | 2012-05-16 |
| 1902172984 | Cornelia S. Lebens | Social Worker | 350 Martha Ave, Bellport, NY 11713-1525 | 2012-03-24 |
| 1679854277 | Maryann Helen Tedesco-miller | Social Worker | 350 Martha Ave, Bellport, NY 11713-1525 | 2011-09-09 |
| 1184932592 | Christina Marie Attisani | Social Worker | 350 Martha Ave, Bellport, NY 11713-1525 | 2010-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730621210 | Jessica Henderson-gray | Licensed Practical Nurse | 735 Walker Ave, Bellport, NY 11713 | 2016-11-15 |
| 1184166969 | Eshelai Jainese Fitzgerald | Licensed Practical Nurse | 138 New Jersey Ave, Bellport, NY 11713 | 2016-11-10 |
| 1437592557 | Rachel Boykin | Licensed Practical Nurse | 654 Meade Avenue, Bellport, NY 11713 | 2013-04-08 |
| 1922383702 | Gabrielle Maria Coyne | Student in an Organized Health Care Education/Training Program | 35 Kreamer Street, Bellport, NY 11713 | 2011-10-12 |
| 1003124595 | Cathy Jean Ekstrom | Speech-Language Pathologist | 352 Martha Ave, Bellport, NY 11713 | 2010-09-17 |
| 1841440401 | Colline Ann Murphy | Licensed Practical Nurse | 755 Bourdois Ave, Bellport, NY 11713 | 2008-09-19 |
| 1134398209 | Althea Lavernie Bullen | Registered Nurse | 548 Bellport Ave, Bellport, NY 11713 | 2008-02-22 |
| 1366646689 | Erica Martin | Counselor | 11 Farber Drive Unit D, Bellport, NY 11713 | 2007-06-12 |
| 1316153109 | Serenity Enterprises Inc | Counselor | 27 Champlin Avenue, Bellport, NY 11713 | 2007-05-16 |
| 1972641256 | Anne Dooling | Social Worker | 56 Bieselin Road, Bellport, NY 11713 | 2007-02-01 |
| Find all providers in zip 11713 | ||||
| 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 |
|---|---|---|---|---|
| 1447568001 | Susan Lynne Roeller | Social Worker | 350 Martha Ave, Bellport, NY 11713-1525 | 2010-09-16 |
| 1750522561 | Alexandra L Vitale | Social Worker | 353 Martha Ave, Bellport, NY 11713-1524 | 2009-03-09 |
| 1750533022 | Craig Brodmerkel | Social Worker | 11 Farber Dr Ste D, Bellport, NY 11713-1500 | 2008-10-18 |
| 1770734493 | Leslie Bromberg | Social Worker | 5 Station Ct Ste 5, Bellport, NY 11713-2453 | 2008-10-01 |
| 1225201106 | Elizabeth Markow-brown | Social Worker | 10 Mooring Dr, Bellport, NY 11713-2810 | 2008-04-10 |
| 1386779163 | Cheryl Ann Bittner | Social Worker | 350b Martha Ave, Bellport, NY 11713-1525 | 2007-02-22 |
| 1568597326 | Karen Adelwerth | Social Worker | 100 N Howells Point Rd, Bellport, NY 11713-2313 | 2007-02-22 |
| 1568533354 | Maryann V Mcinerney | Social Worker | 15 Bellport Ln, Suite 15d, Bellport, NY 11713-2751 | 2006-11-13 |
| 1114003134 | Anne M. Virgilio | Social Worker | 10 Station Ct, Bellport, NY 11713-2453 | 2006-10-31 |
| 1295247807 | Meri Blandi | Social Worker | 350 Martha Ave, Bellport, NY 11713-1525 | 2017-11-05 |
| Find all providers in BELLPORT | ||||
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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.