Mrs Dori Taylor Guterson, LICSW, MHP, CMHS is a medicare enrolled "Social Worker - Clinical" provider in Edmonds, Washington. Her current practice location is
7320 179th St Sw, Edmonds, Washington. You can reach out to her office (for appointments etc.) via phone at
(206) 321-9998.
Mrs Dori Taylor Guterson is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1477745719.
Healthcare Provider's Profile
| Full Name | Mrs Dori Taylor Guterson |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 7320 179th St Sw, Edmonds, Washington |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1477745719
- Provider Enumeration Date: 08/10/2007
- Last Update Date: 11/10/2021
Medicare PECOS Information:
- PECOS PAC ID: 9931416864
- Enrollment ID: I20150909002888
Medical Identifiers
Medical identifiers for Mrs Dori Taylor Guterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477745719 | NPI | - | NPPES |
| LW00009392 | Other | WA | WA DEPT. OF HEALTH |
| 2039295 | Medicaid | WA | |
| 13558962 | Other | | CAQH |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | LW00009392 (New Mexico) | Secondary |
| 101YM0800X | Counselor - Mental Health | LW00009392 (Washington) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | LW00009392 (Washington) | Secondary |
| 1041C0700X | Social Worker - Clinical | LW00009392 (Washington) | Secondary |
| 106H00000X | Marriage & Family Therapist | LW00009392 (Washington) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Dori Taylor Guterson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Dori Taylor Guterson, LICSW, MHP, CMHS
7320 179th St Sw,
Edmonds, WA 98026-5534
Ph: (206) 321-9998 | Mrs Dori Taylor Guterson, LICSW, MHP, CMHS
7320 179th St Sw,
Edmonds, WA 98026-5534
Ph: (206) 321-9998 |
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