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Contact Information

MARLENE G GUTIERREZ, LCSW
13330 VAUGHN ST
SAN FERNANDO, CA91340-2216
 Phone: 818-896-7461
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

School

1041S0200X
Indicates primary specialty

NPI Profile & details for MARLENE G GUTIERREZ · (Female)

NPI # 1649874983
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 11/27/2020
Last updated 09/18/2025 - About 9 months ago
Sole proprietor 1 Yes
Identifiers
  • CA License # LCSW121473
  • CA Other 95-2633765 MEDI-CAL
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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