CARLOS EMMANUEL CANO-GUTIERREZ LCSW
NPI 1679253785
Social Worker - Clinical in Waco, TX

Q: What is Carlos Cano-gutierrez's NPI number?

The NPI number for Carlos Cano-gutierrez is 1679253785. It was assigned to this individual provider in the NPPES registry on July 24, 2023.

Q: What is Carlos Cano-gutierrez's specialty?

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

Active since July 24, 2023PECOS EnrolledAccepts Medicare Assignment

1600 PROVIDENCE DR, WACO, TX 76707(254) 313-4200 Get Directions Write a Review

NPPES record last updated: July 24, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Carlos Emmanuel Cano-gutierrez Lcsw NPPES

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

CARLOS EMMANUEL CANO-GUTIERREZ LCSW (NPI 1679253785) is an individual clinical provider in Waco, Texas, licensed in Texas (62791) and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1679253785

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameCARLOS EMMANUEL CANO-GUTIERREZCredential: LCSW

Location Address1600 PROVIDENCE DRWaco, TX 76707-2261

Mailing Address1600 Providence DrWaco, TX 76707-2261 · (254) 313-4200

Phone(254) 313-4200

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJuly 24, 2023

NPPES CertifiedJuly 23, 2023

✔ NPI 1679253785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in TX · 62791

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.

1600 PROVIDENCE DR, Waco, TX 76707

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Cigna Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carlos Emmanuel Cano-gutierrez Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123481165

PECOS Enrollment IDI20230824000382

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.

Medicare Billing Reassignments

Medicare enrollment records show Carlos Cano-gutierrez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Philip R. Taft Psy.D. PLLC

54 mi

Psychologist

715 W 2ND AVE
Corsicana, TX 75110

Reassigned Medicare billing, Texas enrollment
Medicare enrollment name: Philip R Taft Psyd PLLC
15 clinicians in this Medicare group

NPI 1366628331 (903) 872-4442

Thrive Counseling LLC

1,102 mi

Mental Health

1000 JEFFERSON ST STE 2C
Lynchburg, VA 24504

Reassigned Medicare billing, Texas enrollment
262 clinicians in this Medicare group

NPI 1215181300 (855) 284-7483

Thriveworks Clinical - Washington, PC

1,731 mi

Mental Health

10303 MERIDIAN AVE N STE 200
Seattle, WA 98133

Reassigned Medicare billing, Washington enrollment
35 clinicians in this Medicare group

NPI 1063087856 (855) 284-7483

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76707 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 $54.84 – $166.88

Typical copayment $0.00 (range $13.71 – $41.72)

Most-billed visit code NA

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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.

ALLISON L HULME MD

Family Medicine