Sergio I Gutierrez, LCSW | |
1 Lincoln Pkwy Ste 202, Hattiesburg, MS 39402-3261 | |
(601) 288-8050 | |
Not Available |
Full Name | Sergio I Gutierrez |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 32 Years |
Location | 1 Lincoln Pkwy Ste 202, Hattiesburg, Mississippi |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558379776 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | C5728 (Mississippi) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Forrest County General Hospital | 1052397767 | 82 |
Entity Name | Forrest County General Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295837631 PECOS PAC ID: 1052397767 Enrollment ID: O20040624001351 |
Mailing Address | Practice Location Address |
---|---|
Sergio I Gutierrez, LCSW 1 Lincoln Pkwy Ste 202, Hattiesburg, MS 39402-3261 Ph: (601) 288-8050 | Sergio I Gutierrez, LCSW 1 Lincoln Pkwy Ste 202, Hattiesburg, MS 39402-3261 Ph: (601) 288-8050 |
Paula G Hand, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14 Spears Dr, Hattiesburg, MS 39402 Phone: 601-264-2490 | |
Riley Herrin, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 516 W Laurel Ave, Hattiesburg, MS 39401 Phone: 601-606-0561 | |
Michelle E Howard, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 66 Old Airport Rd, Hattiesburg, MS 39401 Phone: 601-544-7500 Fax: 601-544-7524 | |
Marian Allen, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4100 Mamie St, Hattiesburg, MS 39402 Phone: 601-705-1906 | |
Mrs. Ava Marie Gunn, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6737 U S Highway 98, Hattiesburg, MS 39402 Phone: 601-408-7376 | |
Billie Michelle Brazeal, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-579-3300 Fax: 601-268-5738 | |
Ms. Tara Fulton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 707 Corinne St, Hattiesburg, MS 39401 Phone: 601-408-6284 |