MAYRA ENRIQUEZ GUTIERREZ MSW, LSW
NPI 1043957012
Social Worker - Clinical in Loma Linda, CA

Q: What is Mayra Gutierrez's NPI number?

The NPI number for Mayra Gutierrez is 1043957012. It was assigned to this individual provider in the NPPES registry on May 19, 2022.

Q: What is Mayra Gutierrez's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Mayra Gutierrez was last updated on April 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 19, 2022PECOS Enrolled

11201 BENTON ST, LOMA LINDA, CA 92357(909) 825-7084 Get Directions Write a Review

NPPES record last updated: April 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 9, 2024, May 19, 2022 (2 updates tracked since 2022).

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About Mayra Enriquez Gutierrez Msw, Lsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAYRA ENRIQUEZ GUTIERREZ MSW, LSW (NPI 1043957012) is an individual clinical provider in Loma Linda, California, licensed in California (120753) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1043957012

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMAYRA ENRIQUEZ GUTIERREZCredential: MSW, LSW

Location Address11201 BENTON STLoma Linda, CA 92357-1000

Mailing Address11201 Benton StLoma Linda, CA 92357-1000 · (909) 825-7084

Phone(909) 825-7084

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateMay 19, 2022

Last NPPES UpdateApril 9, 20242 updates tracked since enumeration

NPPES CertifiedApril 9, 2024

✔ NPI 1043957012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in CA · 120753

Definition

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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedSocial WorkerTaxonomy 104100000X · License LSW2735 (HI)

11201 BENTON ST, Loma Linda, CA 92357

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mayra Enriquez Gutierrez Msw, Lsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880172295

PECOS Enrollment IDI20260128001226

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92357 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $59.60 – $179.42

Typical copayment $0.00 (range $14.90 – $44.85)

Most-billed visit code NA

Established Patient

$74.08 typical visit price

range $19.37 – $146.42

Typical copayment $18.52 (range $4.84 – $36.60)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ARTHUR CHUNG-LIUNG CHANG M.D.

Radiology (Diagnostic Radiology)

11201 BENTON ST, VA LOMA LINDA HEALTHCARE SYSTEM - DEPT OF RADIOLOGY
LOMA LINDA, CA 92357

San Bernardino County (909) 825-7084

JUNGMI LEE LCSW

Social Worker (Clinical)