Individual provider · Type 1 NPI

Jesse Gutierrez

Clinical Social Worker · Springfield, IL

NPI number 1891282760 Active

Practice location

901 N 1st St Ste 225
Springfield, IL 62702-3760

Mailing address

710 N 8th St
Springfield, IL 62702-6324

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149020119 (IL)

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 1891282760

Jesse Gutierrez's National Provider Identifier is 1891282760, issued on Apr 17, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Springfield, IL. The record was last updated on Apr 17, 2018.