Individual provider · Type 1 NPI
Jessica Marie Gutierrez, LCSW, CSAC, ICS
Clinical Social Worker · Madison, WI
Practice location
2101 Linden Ave Apt 2
Madison, WI 53704-5350
Mailing address
100 River Pl Ste 260
Monona, WI 53716-4043
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 15584-132 (WI) |
| Clinical Social Worker Primary | 1041C0700X | 7533-123 (WI) |
Clinical Social Worker: 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 interpers…
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About NPI 1003052572
Jessica Marie Gutierrez, LCSW, CSAC, ICS's National Provider Identifier is 1003052572, issued on Jan 5, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Madison, WI. The record was last updated on Feb 14, 2025.