Individual provider · Type 1 NPI

Mayra Enriquez Gutierrez, MSW, LSW

Clinical Social Worker · Loma Linda, CA

NPI number 1043957012 Active

Practice location

11201 Benton St
Loma Linda, CA 92357-1000

Call (909) 825-7084 Map

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XLSW2735 (HI)
Clinical Social Worker Primary 1041C0700X120753 (CA)

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 1043957012

Mayra Enriquez Gutierrez, MSW, LSW's National Provider Identifier is 1043957012, issued on May 19, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Loma Linda, CA. The record was last updated on Apr 9, 2024.